Evaluation of management of malleolar fractures of ankle joint

Abstract

Introduction: Malleolar fractures are some of the most common fractures treated by orthopedic surgeons and there are a large number of controversies regarding its treatment modalities. Material and methods: Fourty patients of malleolar fractures (with young male predominance) were treated and followed for an average of 11 months. Thirty patients were treated operatively while 10 conservatively. Fractures were classified using anatomical, Lauge Hansen's classification AO (Association for Osteosynthesis) classification. Complications were noted and results assessed. Results: Fall at same level and vehicular accidents were the most common etiologies. Supination external rotation injuries and AO type B injuries were common. Superficial infection, malunion, nonunion occurred in two cases each. Thirty Six of 40 patients had satisfactory results. Conclusion: Conservative treatment in selected fractures is justified. Surgical treatment with stable fixation provide good results in terms of early mobilization, faster rehabilitation and more rapid return of function.