Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Ankle fracture (AFs) is one of the most common injury among all the fractures of the lower limbs found in emergency services. These fractures are a significant cause of morbidity for both the young and elderly population. The operative treatment of ankle fracture is open reduction and internal fixation, followed by immobilization and rehabilitation. Ankle fractures severity can be defined and classified to three sub‐groups including unimalleolar, bimalleolar and trimalleolar fractures. Several studies have examined the differences between severity groups regarding functional outcomes and showed conflicting results. In this study, we will analyse the influence of the number and location of malleolar fractures on function, pain, range of motion and development of osteoarthritis in operatively treated participants. To analyse and evaluate the functional outcomes of bimalleolar and trimalleolar fractures in terms of pain, range of motion and functions and to evaluate the complications of surgically treated bimalleolar and trimalleolar fractures. Forty patients of age between 20‐60 years with bimalleolar and trimalleolar fractures undergoing surgery formed the study population. These patients were selected based on the inclusion and exclusion criteria. At six weeks both groups of patients were reviewed, specific complaints were sought and check X‐rays were taken. The patients were further reviewed at three and six months postoperatively and subjective and objective assessment of the patients’ ankles were done using scoring systems: FADI and AOFAS. Statistical analysis used: SPSS software version 25.0. As per Lauge‐Hansen Classification, PA (pronation‐abduction) was the most common type of injury seen. AOFAS score was found to be significantly higher in bimalleolar fractures. AOFAS score was seen to be raised significantly from pre‐operative to 6 months follow up in both the groups. FADI scores of bimalleolar group were higher than trimalleolar group and significant increase in scores from pre‐operative period to 6 months follow up in both the groups was observed. There was significant increase in range of motion in 6 months post operatively. Trimalleolar fractures showed more complications than bimalleolar fractures. Operative treatment for ankle fractures results in good functional outcome post‐ operatively. Bimalleolar fractures were found to have better outcome compared to trimalleolar fractures. A significant improvement was noted in the ankle function from 3rd month to 6th month postop, assessed using subjective criteria and various scoring systems like VAS score, FADI score, AOFAS score. Bimalleolar Fractures, Trimalleolar Fractures, AOFAS, FADI, Lauge‐Hansen classification Operative treatment for ankle fractures results in good functional outcome post‐ operatively. Bimalleolar fractures were found to have better outcome compared to trimalleolar fractures. A significant improvement was noted in the ankle function from 3rd month to 6th month postop, assessed using subjective criteria and various scoring systems like VAS score, FADI score, AOFAS score.
How to cite this article:
Gupta Vinay Kumar, Aggarwal Arvind, Chawla Sumit and Priyadarshi Swapnil. Study of Comparison of Functional Outcome of Surgically Operated Bimalleolar and Trimalleolar
Fractures.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.2.173.183
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.2.173.183