Surgical management of malleolus fracture of ankle, a prospective observational study

Abstract

Background: Ankle joint also called talocrural joint is a hinge joint which is uniaxial approximately. Fracture of ankle is common and important because failure to achieve accurate anatomical alignment may lead to significant long term morbidity Fracture of malleolus is common can be unimalleolar, bimalleolar and trimalleolar and proper reduction of joint is essential to prevent complication. Material and Method: This study has been conducted in the department of orthopaedics, Konaseema institute of medical sciences, Amalapuram, Andhra Pradesh from February 2017 to December 2020. Standard surgical protocol was followed for fixation of lateral, medial and posterior malleolus. Syndemosis was reduced anatomically with K wire and syndesmotic screw was inserted. Result: Regarding outcome of surgical management based on Biard and Jackson ankle scoring system excellent outcome was there in 50% patients, good outcome was there in 32.5% patients, fair outcome was there in 15% patients and poor outcome was there in 2.5% patients. Discussion and Conclusion: We have observed that type C fracture is more common as per Danis-Weber classification system and Supination External rotation is most common as per Lauge-Hansen classification system. As per Biard and Jackson ankle scoring system excellent outcome was there in 50% patients, good outcome was there in 32.5% patients, fair outcome was there in 15% patients and poor outcome was there in 2.5% patients.