SURGICAL OUTCOMES IN THE TREATMENT OF CLOSED BIMALLEOLAR ANKLE FRACTURES AT VIET DUC UNIVERSITY HOSPITAL

Hin Khiev, Văn Minh Đỗ, Mạnh Khánh Nguyễn

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Abstract

Objectives: To evaluate the outcomes of open reduction and internal fixation for closed bimalleolar ankle fracture at Viet Duc University Hospital. Materials and methods: A descriptive cross-sectional study involving 44 patients with close bimalleolar ankle fractures who performed open reduction and tibial fixation from January 2021 to February 2024 at Viet Duc University Hospital. The fracture reduction results were evaluated based on standard anterolateral, lateral, and mortise views of ankle X-rays. Bone healing and foot and ankle function were assessed 6 months after surgery. Results: 44 patients,  including 21 males and 23 females with an average age of 46,6±17,6 years; according to Danis-Weber classification, type B ankle injuries account for the majority with 56.8%; tibiofibular mortise injuries account for 70,5%. The reduction results on X-rays showed that 41.7% of patients had perfect anatomical correction, and 58.3% had at least one unmet anatomical standard. All patients had bone healing 6 months after surgery. Five patients had ankle osteoarthritis symptoms, accounting for 11.4%. The average AOFAS score is 91.5±6.4, of which the number of patients achieving good and fair scale accounts for 95.5%, and the average scale accounts for 4.5%. Conclusion: Open reduction and internal fixation is an effective method of the treatment of closed bimalleolar ankle fractures.

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References

1. Khaled Koujan, Ahmed Y. Saber. Bimalleolar Ankle Fractures. Treasure Island (FL): StatPearls Publishing, 2024 Jan.
2. Sara Guedes, Bernardo Sousa-Pinto, João Torres (2022) Radiological outcomes of bimalleolar fractures: Are timing of surgery and type of reconstruction important? Orthopaedics and traumatology surgery and research, Volume 108, Issue 7, November 2022. https://doi.org/ 10.1016/j.otsr.2022.103314
3. Đỗ Tuấn Anh. Kết quả phẫu thuật gãy kín xương mắt cá chân ở người trưởng thành tại bệnh viện Hữu nghị Việt Đức. Luận văn thạc sĩ Y học, Trường Đại học Y Hà Nội, 2016
4. Nguyễn Trung Văn. Đánh giá kết quả phẫu thuật gãy kín mắt cá chân tại bệnh viện Saint Paul. Luận văn thạc sỹ Y học, Trường Đại học Y Hà Nội, 2019
5. Samuel B. Adams, David. M. Tainter, Michel A. Taylor. Malleolar Fractures and Soft Tissue Injuries of the Ankle. Skeletal Trauma, 6th Edition, 2020, chapter 66, 2446-2484.
6. Ma Ngọc Thành. Đánh giá kết quả phẫu thuật gãy kín mắt cá chân tại bệnh viện Hữu nghị Việt Đức. Luận văn thạc sỹ Y học, Trường Đại học Y Hà Nội, 2010
7. Michelson J.D (1995). Fractures about the ankle. JBJS, 77(1), 142-152. DOI: 10.2106/ 00004623-199501000-00020.
8. Karande V, Nikumbha V.P, Desai A. et al. Study of surgical management of malleolar fractures of ankle in adults. Int J Orthop Sci, 2017, 3(3), 783-787. DOI: 10.22271/ ortho.2017.v3.i3k.118
9. Monestier L, Riva G, Coda Zabetta L, Surace M.F. Outcomes after unstable fractures of the ankle: what's new? A systematic review. Orthopedic Reviews. 2022 May 31;14(4): 35688. DOI: 10.52965/001c.35688
10. Nguyễn Điện Thành Hiệp. Đánh giá kết quả điều trị gãy kín Dupuytren bằng phương pháp kết hợp xương bên trong tại bệnh viện Trung ương Quân đội 108. Luận văn thạc sỹ Y học, Học viện Quân Y, 2020.