Functional and radiological outcome of open reduction and internal fixation in bimalleolar fractures of ankle: a prospective study

Authors

  • Gagandeep Singh Department of Orthopaedics, Government Medical College, Jammu, Jammu and Kashmir, India
  • Abdul Basit Department of Orthopaedics, Government Medical College, Jammu, Jammu and Kashmir, India
  • Sanjeev Gupta Department of Orthopaedics, Government Medical College, Jammu, Jammu and Kashmir, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20213403

Keywords:

Bimaleolar fractures, Lauge–Hansen classification, Baird and Jackson criteria

Abstract

Background: Bimalleolar fractures are commonly encountered fractures in the orthopaedic emergency. The goals in the treatment of these fractures are aimed at perfect anatomical reduction which could be obtained by open reduction and internal fixation.

Methods: A prospective study conducted in the department of orthopedics, Government Medical College, Jammu, Jammu and Kashmir from June 2019 to December 2020 in patients with bimalleolar fracture. Clinical history, socio-demographic profile, and Lauge Hansen classification was noted for all patients. Functional outcome was evaluated 6 months postoperatively using the Baird and Jackson criteria.

Results: Mean time for radiological union was 18 weeks. Baired and Jackson scoring was used with excellent results in 21 patients (43.75%), good results in 19 patients (39.58%), fair results in 8 patients (16.66) while no patients had poor outcome.

Conclusions: In our study we concluded that open reduction and internal fixation (ORIF) in bimalleolar fractures with plating for lateral malleolus and cannulated cancellous screw (CCS) for medial malleolus is an effective treatment modality with very good results in experienced hands.

References

Roy I, Davidovitch Egol AK. Ankle Fractures. In: Bucholz WR, Charles, Heckman JD, Paultornetta, editors. Rockwood and Greens Fractures in Adults. Edition 7. Philadelphia: Lippincott Williams and Wilkins Publishers. 2009;1975-2017.

Simon WH, Friedenburg S, Richardson S. Joint Congruence; A correlation of joint congruence and thickness of articular cartilage in cogs. J Bone Joint Surg. 1973;55:1614.

Court-Brown C, McQueen M, Tornetta P. Ankle fractures. In: Tornetta P, Einhorn T, editors. Trauma. Philadelphia: Lippincott Williams & Wilkins. 2006;366-82.

Makwana NK, Bhowal B, Harper WM, Hui AW. Conservative versus operative treatment for displaced ankle fractures in patients over 55 years of age: a prospective, randomised study. Bone Joint J. 2001;83(4):525-9.

Vioreanu M, Brophy S, Dudeney S, Hurson B, Kelly E, O’Rourke K, et al. Displaced ankle fractures in the geriatric population: operative or non-operative treatment. Foot Ankle Surg. 2007;13(1):10-4.

Reuwer JM, van Straaten TJ. Evaluation of operative treatment of 193 ankle fractures. Neth J Surg. 1984;36(4):98-102.

Weber MJ. Ankle fractures and dislocations. In: Chapman MW, Madison M, editors. Operative Orthopaedics. 2nd ed., Vol. 3. Ch. 50. Philadelphia, PA: JB. Lippincott Company. 1993;731-48.

Geissler WB, Tsao AK, Hughes JL. Fractures and injuries of the ankle. In: Rockwood and Green’s Fractures in Adults. 4th ed. Philadelphia, PA: Lippincott Raven. 1996;2201-66.

Lauge-Hansen N. Fractures of the ankle: II. Combined experimental-surgical and experimental-roentgenologic investigations. Arch Surg. 1950;60(5):957-85.

Baird RA, Jackson ST. Fractures of the distal part of the fibula with associated disruption of the deltoid ligament. Treatment without repair of the deltoid ligament. J Bone Joint Surg Am. 1987;69(9):1346-52.

Motwani GN, Shah HD, Chavli VH, Daveshwar RN, Parmar H, Suthar PP. Results of open reduction and internal fixation in closed bimalleolar Pott’s fracture of ankle in adults. Int J Med Sci Public Health. 2015;4(7):893-900.

Maruthi CV, Venugopal N, Nanjundappa HC, Siddalingaswamy MK. Bimalleolar Fracture of Ankle Joint Managed By Tension Band Wiring Technique: A Prospective Study. Sch J App Med Sci. 2014;2(1):428-32.

Mohapatra A, Raj K. Functional outcome after surgical treatment of ankle fracture using Baird Jackson score. Int J Res Orthop. 2018;4:638-41.

Beris AE, Kabbani KT, Xenakis TA, Mitsionis G, Soucacos PK, Soucacos PN. Surgical treatment of malleolar fractures- a review of 144 patients. Clin Orthop Relat Res. 1997;341:90-8.

Yih-Shiunn L, Huang Chun-Chen NSP, Nan CC, Chien-Chung L. Operative treatment of displaced lateral malleolar fractures: The Knowles pin technique. J Orthop Trauma. 2005;19(3):192-7.

Roberts RS. Surgical treatment of displaced ankle fractures. Clin Orthop Relat Res. 1983;172:164-70.

Parvataneni Prathap DA, Kondlapudi A, Hariprasad S. Functional outcome in surgical management of Bi-malleolar fractures in adults. Int J Orthop. 2016;2(4):72-6.

Shah ZA, Arif U. Surgical Management of Bimalleolar Fractures of Ankle. Pak J Med Health Sci. 2013;7(2):471-3.

De Souza LJ, Gustilo RB, Meyer TJ. Results of operative treatment of displaced external rotation-abduction fractures of ankle. J Bone Joint Surg. 1985;67:1066-74.

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Published

2021-08-25

How to Cite

Singh, G., Basit, A., & Gupta, S. (2021). Functional and radiological outcome of open reduction and internal fixation in bimalleolar fractures of ankle: a prospective study. International Journal of Research in Medical Sciences, 9(9), 2657–2661. https://doi.org/10.18203/2320-6012.ijrms20213403

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Original Research Articles