Medial Malleolus Fracture Fixation in Weber Type B and C Ankle Injuries
Introduction: Medial malleolus fractures are commonly encountered by orthopaedic surgeons in their daily practice. Medial malleolus fractures are articular fractures and hence need anatomical reduction to prevent the potential complications. Many methods of fixation are in practice for fixing me...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2021-10-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/15473/49467_CE[Ra1]_F[SH]_PF1(AKA_SHU)_PFA(AKA_KM)_PN(KM).pdf |
| Summary: | Introduction: Medial malleolus fractures are commonly
encountered by orthopaedic surgeons in their daily practice.
Medial malleolus fractures are articular fractures and hence need
anatomical reduction to prevent the potential complications.
Many methods of fixation are in practice for fixing medial
malleolus with the aim to achieve stable fixation and union of
the fracture site.
Aim: To evaluate the outcome of medial malleolus fracture
fixation by three different methods- two partially threaded
screws, one partially threaded screw and one k-wire and tension
band wiring, in Weber type B and C ankle injuries.
Materials and Methods: This prospective interventional study
was conducted from August 2017 to September 2020 in a tertiary
care orthopaedics hospital in Srinagar, Jammu and Kashmir,
India. A total of 40 patients (aged 18 years or greater) of Weber
B and C types medial malleolus fracture, were included in the
present study. The medial malleolus was fixed with two partially
threaded screws in 16 patients (Group A), one partially threaded
screw and one Kirschner wire (K)-wire in 14 patients (Group B)
and tension band wiring was done in 10 patients (Group C). The
fixation was decided on intraoperative finding of fragment size
and comminution as well as quality of bone. The parameters
assessed were time of union, delayed union, non union, ankle
range of motion and symptomatic hardware. One-way Analysis
of Variance (ANOVA) test was used to compare parametric
data of the three groups. The p-value<0.05 was considered
statistically significant.
Results: The mean age of the patients was 40.20 years with
range 18-65 years. 22 patients were females and 18 were males
and the male to female ratio was 0.81. The mean time of healing
of fracture was 10.25 weeks in group A, 11.14 weeks in group B
and 10.80 weeks in group C. There were two cases of delayed
union, one each in group B and C. Symptomatic hardware was
mostly seen in group C. There was no case of non union in the
present study.
Conclusion: It can be concluded that all the three fixation
methods used in this study achieved the union in comparable
time duration with no case of non union. A particular method
of fixation should be used by taking into consideration the type
of fracture, size of the fragment, comminution and quality of
the bone. |
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| ISSN: | 2249-782X 0973-709X |