Open AccessANKLE FRACTURES;
Author(s) -
Umar Zia Khan,
Wali Muhammad,
Asra Qureshi
Publication year - 2018
Publication title -
the professional medical journal/the professional medical journal
Language(s) - English
Resource type - Journals
eISSN - 2071-7733
pISSN - 1024-8919
DOI - 10.29309/tpmj/2018.25.08.53
Subject(s) - medicine , ankle , medial malleolus , impaction , surgery , trauma center , orthodontics , retrospective cohort study
Objectives: To evaluate the pattern of ankle fractures presented to our regionaltrauma and tertiary care center. Study Design: Prospective Study. Place & Duration of Study:Lady Reading Hospital, Peshawar from November 2016 to October 2017-Twelve months.Methods: The study group included 107 patients with ankle fractures where age, gender,mechanism of injury, presence of closed or open fracture was recorded. The fractures wereclassified according to Lauge-Hansen and Danis-Weber classifications. Medial malleoluscomminution and presence of talar shift was recorded. The pattern of fractures was analyzedand compared with literature. Results: 52.3% sustained these fractures while running/walkingfollowed by road traffic accident in 25.2%. Supination external rotation injures and Weber B werethe commonest followed by supination adduction injuries and Weber A fractures. 25 % of anklefractures were open. 27.1 % showed medial malleolus comminution and talar shift was noticedin 77% cases. Conclusion: We observed high proportion of open and unstable fractures alongwith higher rate of medial malleolus comminution in our patients. High proportion of supinationadduction injuries were recorded which is associated with impaction injury of medial tibialplafond.