SURGICAL MANAGEMENT AND FUNCTIONAL OUTCOME OF MEDIAL MALLEOLUS FRACTURE IN INDIAN ADULTS
Ankle fractures represent 10% of all fractures. It is second most common lower limb fracture affecting people of all ages especially about 45 to 55 years, usually young males and elderly females being the high-risk victim. Treatment of ankle fractures plays a vital role in terms of fracture integrity and stability, especially if planned surgically various treatment modalities are available for fracture reduction, maintaining the reduction and achieving union at the fracture site for the betterment of patient in terms of pain relief, improved range of movements without stiffness. Management of ankle fractures and its outcome has a deliberate impact on patients socioeconomic status and well being. To analyse surgical management and to evaluate the functional outcome of medial malleolus fracture using various modality like tension band wiring, cannulated cancellous screw and K-wire. This prospective study was done in Sree Balaji Medical College and Hospital, Chrompet, Chennai. In our study out of 30 cases 3 were isolated medial malleolus fracture remaining 27 were Bimalleolar fracture in that 16 patients showed syndesmotic disruption selected based on proposed inclusive and exclusive criteria. Classification used was Lauge-Hansen and Danis Weber classification. Road traffic accident was most common mode of injury. Patients were treated using Cannulated cancellous screw, K-wire (kirschner wire), Tension band wiring and one-third tubular plate where 16 patients required additional Syndesmotic screw fixation. Result were analysed using Baird and Jackson scoring system. About 36.7% of cases showed excellent result and 43.3% cases showed good result. Accurate anatomical reduction of fracture fixation result in good functional outcome