Functional Outcome of Distal Fibula Fractures with Syndesmotic Injury Managed by Anatomical Locking Compression Plate with Syndesmotic Suture Button Fixation: A Prospective study.

Rohit, S (2017) Functional Outcome of Distal Fibula Fractures with Syndesmotic Injury Managed by Anatomical Locking Compression Plate with Syndesmotic Suture Button Fixation: A Prospective study. Masters thesis, Kilpauk Medical College, Chennai.

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Abstract

AIMS AND OBJECTIVES : 1. To evaluate 20 cases of distal fibula fractures with syndesmotic injury managed by anatomical locking compression plate with syndesmotic suture button fixation 2. To analyse the functional outcome , fracture healing pattern, syndesmotic joint integrity MATERIALS AND METHODS : Study centre : Department of Orthopaedics. Kilpauk Medical College Hospital, Kilpauk, Chennai – 10. Study design : Prospective Study. Inclusion criteria : • Adults > 18 years of age. • Fracture type – WEBER B AND C. • RADIOLOGICAL – MRI showing rupture of ATFL/PTFL. • XRAY – ABNORMAL TIBIOFIBULAR CLEAR SPACE AND TIBIFIBULAR OVERLAP. Exclusion criteria • Weber type a fractures. • Weber type b and c without syndesmotic injury. • Age < 18 years. • Fractures with open wound. Sample size : 20. Protocol: All the cases were evaluated with routine Ankle radiographs for distal fibula fracture and syndesmotic injury , MRI ankle taken to check for syndesmotic ligament integrity. Anatomical LCP Fibula and syndesmotic suture button applied for all cases. Functional outcome assessed using AOFAS score. Serial follow-up done and functional outcome assessed. RESULTS : 20 cases were operated and followed up and AOFAS score had mean of 92.6. 17 cases had excellent outcome and 3 cases had good outcome. One case had infection which settled with culture specific antibiotic .The average time taken for union was 12.1 weeks. No case required routine implant removal . All the cases had early return to their activities without persisting pain. CONCLUSION : The fixation of distal fibula fractures with syndesmotic injury with anatomical Locking compression plate and syndesmotic suture button fixation is an effective method of fixation with excellent functional outcome.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Anatomical LCP ; Syndesmosis ; Suture button ; tibiofibular ligament.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 20 Dec 2017 23:31
Last Modified: 20 Dec 2017 23:31
URI: http://repository-tnmgrmu.ac.in/id/eprint/4606

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