IJSS Journal of Surgery

Permanent URI for this collection

https://imsear.searo.who.int/handle/123456789/157948

Editor: Dr Mahesh M Pukar
ISSN: 2395-1893

Frequency: Once in two months

Language: English

Open Access Peer-reviewed journal

Web site: https://surgeryijss.com/

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Browsing IJSS Journal of Surgery by Subject "Ankle fracture"

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    Functional Outcome of Anterolateral Plating for Distal Tibial Fracture.
    (2016-11) Daniel, Swarup-Masih; Puranik, Rahul
    Introduction: Tibial pilon fractures are fractures involving distal tibial articular surface and mostly are result of high-energy trauma with associated soft tissue injuries. These fractures represent a challenge for the treating orthopedic surgeon. Associated soft tissue swelling determines the timing of surgery and approach. The treatment for tibial pilon fractures is technically demanding because of its potential for severe complication. Aims and Objectives: To evaluate the post-operative results and functional clinical outcome of patients who underwent anterolateral plating for distal tibial fractures using the Burwell-Charnley criteria. Materials and Methods: This study includes 22 patients of distal tibia plafond fractures treated with anterolateral plating. Surgery was done when the soft tissue conditions were acceptable. Postoperatively sutures were removed after 14 days. Serial radiographs were taken to assess union of the fracture. Patients were mobilized full weight bearing after fracture union. Thereafter, the patients were followed up at 6 and 12 months. Functional outcome was evaluated using Burwell-Charnley criteria. Results: Of the 22 patients, 12 were male and 10 were female. The mean time for surgery was 5.14 days, and there was no wound complication and mean time to suture removal was 16.4 days. Union was achieved in average 15.01 weeks. The functional outcome was assessed using the Burwell-Charnley criteria which, an excellent result was seen in 8 (36.36%) patients, good in 12 (54.55%), fair in 2 (9.09%), and no poor outcome. Conclusion: Anterolateral approach with anterolateral plating in the distal end tibial fractures is safe easy and effective and has excellent to good functional outcome in most of the fracture types.