Online ISSN: 2515-8260

Keywords : AOFAS score

Outcome of MIPO in Distal Tibial Metaphyseal fractures -comparative analysis in terms of fibular fixation

S. Abdul Hameed Ansari, S. Arularasan, S. Basheer Ahamed

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 1, Pages 2254-2260

Objectives: To compare the clinical and radiological outcomes of distal tibial Metaphyseal fractures fixed with distal tibial locking plates with or without lateral malleolus fixation.
Methods: Among 40 patients fixed with distal tibia locking plate from 2016 to 2021, 22 cases were fixed with lateral malloelus and 18 cases without fixing the lateral malleolus. The AOFAS was analysed to know about the clinical outcome and Lateral distal tibial plafond angle(LDTA) was measured after 6 months after fixation and compared.
Results: The American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-hind foot score average was slightly reduced in lateral malleolus not fixed group, but significant reduction was noticed in lateral malleolus not fixed group

Surgical management of displaced calcaneum fractures by plating

Dr. H Manjunath, Dr. Ullas Mahesh, Dr. Sharat Balemane, Dr. Anil Patil

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 1558-1562

Introduction: Calcaneal fractures are comparatively rare injuries, which occur in 2% of all fractures According to the recent literature, 60% to 75% of these fractures are considered to be displaced and intraarticular, which evidences the difficulty of the treatment. This type of injury is more common in men compared to women because it commonly occurs as occupation associated.
Methodology: In this study of prospective design 40 patients with calcaneum fracture treated by ORIF with plates between JAN 2019 to DEC 2021 were reviewed at a tertiary centre. The
patients were called for a final follow up evaluation and the latest functional outcome assessed as for the AOFAS score and results were analysed.
Results: Young patients showed significantly better outcome with ORIF with plating. The timing of the surgery is the most important detriment for the outcome. The final functional outcome assessed with AOFAs score is encouraging with 77.1%.
Conclusion: Operatively treated calcaneum fractures with ORIF with plates gives a good functional outcome when surgical principle are strictly adhered to, proper patient selection, appropriate timing for surgery, strict asepsis, proper approach for rising full thickness flaps, accurate anatomic reduction and proper post-operative protocol with follow up which minimizes complications.