Outcome Analysis of Open Fractures of the Ankle Joint

Santhana Kumaran, D (2017) Outcome Analysis of Open Fractures of the Ankle Joint. Masters thesis, Madras Medical College, Chennai.


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INTRODUCTION: Fractures of the ankle joint are the second most common lower limb fractures after the hip fractures and they represent 10% of all fractures with an incidence of around 137 per 1,00,000 persons per year. Around 2% of ankle fractures are open fractures. Open injuries around the ankle joint cause destruction of not only the bony architecture but also often the ligamentous and soft tissue components including skin. AIM OF THE STUDY: To study the functional and radiological outcome of open ankle fractures treated by various treatment modalities. MATERIALS AND METHODS: This is a prospective and retrospective study of open ankle fractures conducted at Institute of Orthopedics and Traumatology, RGGGH, Madras Medical College, Chennai -3 between March 2016 to August 2016. Outcome of 23 open ankle fractures analysed functionally and radiologically. RESULTS: The most common cause in our study is road traffic accidents (69%), Majority of the patients presents as Gr III A open fractures (gustilo – Anderson) 43.5 % followed by Gr III B open fractures (30.4%) and bi malleolar fractures are common (60.9%) Based on the observations of the Lauge – Hansen and AO/OTA classifications, supination external rotation type 4 (SER 4) and type 44B2 (AO) are more prevalent. CONCLUSION: Open reduction and internal fixation in Gr I and Gr II open ankle fractures results in excellent patient outcome. Post traumatic osteoarthritis of the ankle (PTOA), the most common indication for ankle arthrodesis occurs in significant number in our study (around 39.1%), contribute significantly to the poor outcome.

Item Type: Thesis (Masters)
Uncontrolled Keywords: open ankle fractures, OMAS score.
Subjects: MEDICAL > Orthopaedics
Depositing User: Devi S
Date Deposited: 19 Mar 2020 11:48
Last Modified: 19 Mar 2020 11:48
URI: http://repository-tnmgrmu.ac.in/id/eprint/12354

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