Abstract :
Background: A bimalleolar ankle fracture is unique in the sense that ankle is the distal most weight bearing joint and locomotion depends upon stability of the ankle mortise. The best option for management of bimalleolar ankle fracture still remains unclear because of the variability of fracture patterns and availability of variety of implants.
Objectives: This study was conducted to set the indications for the two modalities of surgical fixation viz- fibular plate fixation and fibula nailing in various fracture subtypes; and to compare the functional outcome of bimalleolar ankle fracture managed by these two methods at 9 months post-operative interval. Complications associated with specific modalities of fixation were also studied.
Material and Method: This was a randomized, prospective and comparative study for the methods used for management of the fracture done in Department Of Orthopedics and Traumatalogy at USSC, Indore from January 2014 to April 2016. 45 patients with bimalleolar fractures were included in the study. Clearance from ethical committee of the institute was taken. Informed consent was taken and patients were evaluated pre operatively and post operatively at 1, 3, 6 and 9 months interval with the help of Olerud Molander Ankle Score (OMAS) and radiographically.
Results: Duration after which partial weight bearing was initiated was significantly shorter in group1 (fibula plating) (p
Keyword :
Plating, Nailing, Bimalleolar ankle Fractures, Olerud Molander score