Packkyarathinam, R P (2020) Comparison of Functional Outcome Analysis of Posterior Plating and Lateral Plating for Lateral Malleolus Fractures of Ankle. Masters thesis, Kilpauk Medical College, Chennai.
|
Text
220200420packkyarathinam.pdf Download (2MB) | Preview |
Abstract
INTRODUCTION: Lateral plating is the most common plating technique used for lateral malleolus fractures of ankle mainly due to the ease of plate application and direct fracture reduction. In some cases, it is associated with skin soddening/necrosis following hardware irritation, eventually resulting in implant removal. Posterior plating technique for lateral malleolus ankle fractures addresses these problems of lateral plating providing better wound healing, earlier mobilization and better functional outcome. AIM OF THE STUDY: Comparison of functional outcome analysis of posterior plating and lateral plating for lateral malleolus fractures of ankle. MATERIALS AND METHODS: A prospective study done in Government Royapettah Hospital, Govt Kilpauk Medical College, Chennai during the period of June 2017 to October 2019. 20 cases of ankle fractures (10 cases in posterior plating technique & 10 in lateral plating technique) were analysed. Lauge-Hansen and A.O. classifications were used. Road traffic accident was the major mode of injury. Average injury to surgery interval was 6 days. Average follow up period was 13 months. Functional outcome was analysed using AOFAS score (American Orthopedic Foot & Ankle Society). RESULTS: Functional outcome was excellent and good in all cases of the posterior plating group while it was 80% in the lateral plating group. 60% patients in the posterior plating group showed union within 3 months while in the lateral plating group it was noted to be 40%. 3 patients in the lateral plating group had superficial wound infections, of which 2 resulted in wound gaping. No wound complication was noted in the posterior plating group. CONCLUSION: With the short term follow up of our study, we conclude that Posterior plating technique for lateral malleolus fractures of ankle allows better implant placement, good wound healing and a better functional outcome in comparison to the Lateral plating technique.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221712154 |
| Uncontrolled Keywords: | Bimalleolar, trimalleolar, lateral malleolus ankle fractures, Lauge – Hansen, Olerud and Molendar scoring, functional outcome, AOFAS scoring. |
| Subjects: | MEDICAL > Orthopaedics |
| Depositing User: | Subramani R |
| Date Deposited: | 13 Feb 2021 15:42 |
| Last Modified: | 13 Feb 2021 15:42 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/14117 |
Actions (login required)
 |
View Item |
