Treatment and Outcome of Ankle Fractures at the Moi Teaching and Referral Hospital
Background: Ankle fractures are common and protocols for their management are generally well established. Despite this, a significant proportion of the patients get unfavourable outcomes after being managed for this injury. This study looked at the treatment options offered and their outcome at our...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Surgical Society of Kenya
2014-01-01
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| Series: | The Annals of African Surgery |
| Subjects: | |
| Online Access: | https://www.annalsofafricansurgery.com/treatment-and-outcome-of-ankle-frac |
| _version_ | 1818210785913995264 |
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| author | Kilonzo N Mwangi HR Lelei LK Nyabera S Ayumba BR |
| author_facet | Kilonzo N Mwangi HR Lelei LK Nyabera S Ayumba BR |
| author_sort | Kilonzo N |
| collection | DOAJ |
| description | Background: Ankle fractures are common and protocols for their management are generally well established. Despite this, a significant proportion of the patients get unfavourable outcomes after being managed for this injury. This study looked at the treatment options offered and their outcome at our unit. Methodology: A prospective study was conducted to examine ankle fracture patients presenting at our unit from 1st November 2009 to 30th April 2011. All patients were followed up was for 6 months where clinical and radiological evaluations recorded to determine outcome. Results: The mean age of patients was 47years with the ratio of female to male being 1.5:1. An infection rate of 10% in patients treated by ORIF and 33.3% in open fractures was documented. At 6 months follow up, there was a higher rate of complications in the unstable fractures treated non-operatively (92.3%) compared to unstable fractures treated surgically (37.7%) (p<0.001). Conclusion: The rate of infection after surgical management was high and measures are required to mitigate this. The unstable ankle fractures treated non-operatively have a high rate of complications and should be managed operatively. |
| first_indexed | 2024-12-12T05:22:08Z |
| format | Article |
| id | doaj.art-0060080a730b4a7289d545afa205f1a9 |
| institution | Directory Open Access Journal |
| issn | 1999-9674 2523-0816 |
| language | English |
| last_indexed | 2024-12-12T05:22:08Z |
| publishDate | 2014-01-01 |
| publisher | Surgical Society of Kenya |
| record_format | Article |
| series | The Annals of African Surgery |
| spelling | doaj.art-0060080a730b4a7289d545afa205f1a92022-12-22T00:36:35ZengSurgical Society of KenyaThe Annals of African Surgery1999-96742523-08162014-01-01111Treatment and Outcome of Ankle Fractures at the Moi Teaching and Referral HospitalKilonzo N0Mwangi HR1Lelei LK2Nyabera S3Ayumba BR4Moi Teaching and Referral HospitalMoi Teaching and Referral HospitalSchool of Medicine, Moi UniversityMoi Teaching and Referral HospitalSchool of Medicine, Moi UniversityBackground: Ankle fractures are common and protocols for their management are generally well established. Despite this, a significant proportion of the patients get unfavourable outcomes after being managed for this injury. This study looked at the treatment options offered and their outcome at our unit. Methodology: A prospective study was conducted to examine ankle fracture patients presenting at our unit from 1st November 2009 to 30th April 2011. All patients were followed up was for 6 months where clinical and radiological evaluations recorded to determine outcome. Results: The mean age of patients was 47years with the ratio of female to male being 1.5:1. An infection rate of 10% in patients treated by ORIF and 33.3% in open fractures was documented. At 6 months follow up, there was a higher rate of complications in the unstable fractures treated non-operatively (92.3%) compared to unstable fractures treated surgically (37.7%) (p<0.001). Conclusion: The rate of infection after surgical management was high and measures are required to mitigate this. The unstable ankle fractures treated non-operatively have a high rate of complications and should be managed operatively.https://www.annalsofafricansurgery.com/treatment-and-outcome-of-ankle-fracankle fracturestreatment outcomedeveloping country |
| spellingShingle | Kilonzo N Mwangi HR Lelei LK Nyabera S Ayumba BR Treatment and Outcome of Ankle Fractures at the Moi Teaching and Referral Hospital The Annals of African Surgery ankle fractures treatment outcome developing country |
| title | Treatment and Outcome of Ankle Fractures at the Moi Teaching and Referral Hospital |
| title_full | Treatment and Outcome of Ankle Fractures at the Moi Teaching and Referral Hospital |
| title_fullStr | Treatment and Outcome of Ankle Fractures at the Moi Teaching and Referral Hospital |
| title_full_unstemmed | Treatment and Outcome of Ankle Fractures at the Moi Teaching and Referral Hospital |
| title_short | Treatment and Outcome of Ankle Fractures at the Moi Teaching and Referral Hospital |
| title_sort | treatment and outcome of ankle fractures at the moi teaching and referral hospital |
| topic | ankle fractures treatment outcome developing country |
| url | https://www.annalsofafricansurgery.com/treatment-and-outcome-of-ankle-frac |
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