engleski

Late functional results of malleolar fractures

We present an observational late function result study of surgically treated malleolar fractures Weber classification type A (7.6%), B (53.2%) and C (39.2%) from Jan. 1993 to Dec. 2000 in the University hospital “Rebro”. 147 patients with earlier mentioned fractures were surgically treated. Control check was done after more than a year of definitive treatment, of which 79 patients (53.7%) replied to our control check. Most important surgery aims are anatomical reconstruction of the ankle joint, regain of the fibula length and rotation correction in the ankle, which constructs the biomechanical ankle unit. We decided that the most objective evaluation function quality method is to compare individually ankles function. Key factors are prompt surgery, minimal invasive surgery and early rehabilitation. In 31 cases (39, 2 %) pain was present due to weather change, in 7 cases (8.9%) an instability sensation was marked, whereas sufferings such as stiffness, cold and parasthaesia were considered not to be exclusively related to the injury. No cases of local infection were found, in only 2 cases (2.5%) the wound healed “per secundam”. In conclusion we confirm literature results that the surgery end result is still not satisfactory even after hardware extraction.

Malleolar fractures ; Functional results

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