Medial Malleolus Fracture Fixation in Weber Type B and C Ankle Injuries
| Autor: | Mohd RafeeqWani, Stanzin Sonum, Zubair Younis Ringshawl |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Journal of Clinical and Diagnostic Research, Vol 15, Iss 10, Pp RC01-RC04 (2021) |
| Druh dokumentu: | article |
| ISSN: | 2249-782X 0973-709X |
| DOI: | 10.7860/JCDR/2021/49467.15473 |
| Popis: | 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 |
| Databáze: | Directory of Open Access Journals |
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