International Journal of Medical and Health Research

International Journal of Medical and Health Research


International Journal of Medical and Health Research
International Journal of Medical and Health Research
Vol. 3, Issue 1 (2017)

Functional outcome of surgical management of malleolar fractures of the ankle joint using Baird-Jackson scoring - A Prospective study


Rajiv Mario Colaco, Naik Lokesh Gudda G, Waybase Ashok Hanumant, Sharma Gaurav Mahesh, Qureshi Faisal, Krishna Badgire

Introduction- Ankle fractures are the most common type of fractures treated by orthopaedic surgeons worldwide accounting for around 10% of all the fractures. better understanding of the biomechanics of the ankle, improvements in fixation techniques and findings of outcome studies performed worldwide, there has been a gradual evolution in the effective strategies for the treatment of ankle fractures. The purpose of the present study was to evaluate the functional outcome and results obtained after surgical management by various methods of internal fixation for malleolar ankle fractures with the help of the Baird-Jackson score. Material and Methods- 53 patients with bimalleolar fractures were treated between August 2014 and August 2015 at a tertiary care hospital. The inclusion criteria were closed bimalleolar fractures in skeletally matured patients. Patients with compound fractures, pilon fractures and those with syndesmotic injuries were excluded from the study. Results- The mean age of patient was 37.3 years. 34 (64.2%) cases had road traffic accident as the mechanism of injury. The most common fracture as per the Danis-Weber classification was type C including 36 (67.9%) cases. 29 (54.7%) cases had supination external rotation type of injury as per Lauge Hansen classification system, 2 (3.77%) cases had superficial infection which resolved completely with oral antibiotics. There were no cases of non-union or mal-union in the present study. As per the Baird Jackson scoring system, 44 (83%) cases had good to excellent results, 7 (13.3%) had fair and 2 (3.7%) of the cases had poor results respectively. Conclusion- Treatment of bimalleolar fractures by plating and tension band wiring has good and favorable outcomes especially in Indian scenario where manual work is of utmost importance.
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