Abstract Issue

Volume 11 Issue 1 (January-March) 2022

Original Articles

Assessment of cases of distal tibial fractures managed with spanning fixator around ankle joint
Dr. Vaibhav Maheshwari, Dr. Sandeep Gaur, Dr. Deepak Nadkarni, Dr. Anchal Mishra

Background: Distal tibial fractures are among the most challenging orthopaedic problems. The present study was conducted to assess the cases of distal tibial fractures with spanning fixator around ankle joint. Materials & Methods: 50 fractures of distal tibia of both genderswas enrolled. All cases were managed with spanning fixator. AOFAS (American orthopaedics foot and ankle society) score was used to evaluate the outcome Results: Out of 50 patients, males were 27 and females were 23. The mode of injury was fallin 12, Pedestrian in 10, four wheelers in 18 and two wheelers in 10. Side involved was right in 23, left in 21 and both in 6. Associated injurieswas right calcaneal fracture in 5 and forearm fracture in 3. Interval between injury & surgery was 1-3 hoursin 32 and 4-6 hours in 18. Complications was non- union in 4 and malunion in 2. Outcome was excellent in 34, good in 11 and fair in 5 cases. The difference was significant (P< 0.05). Conclusion: The use of spanning fixator for injuries around the ankle joint is relatively simple and cost-effective method for treating these fractures, achieving union and also maintaining ankle function.

 
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