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Date Published: 22/08/2022
Abstract Views: 444
Views PDF: 203
DOI: https://doi.org/10.51298/vmj.v517i1.3132
Issue
Vol. 517 No. 1 (2022)
Section
Các bài báo
How to Cite
Minh Hải, V. ., Thanh Nam, P. ., & Hoàng Tùng, T. . (2022). SURGICAL OUTCOMES OF CLOSED MALLEOLUS FRACTURES TREATMENT AT THAI BINH GENERAL HOSPITAL. Vietnam Medical Journal, 517(1). https://doi.org/10.51298/vmj.v517i1.3132

SURGICAL OUTCOMES OF CLOSED MALLEOLUS FRACTURES TREATMENT AT THAI BINH GENERAL HOSPITAL

Vũ Minh Hải1,, Phan Thanh Nam1, Trần Hoàng Tùng1,2
1 Thai Binh University of Medicine and Pharmacy
2 Institute of Orthopaedics and Trauma Surgery Vietduc University Hospital

Main Article Content

Abstract

Objectives: To evaluate the surgical outcomes of closed malleolus fracture treatment at Thai Binh General Hospital. Methods: Descriptive cross-sectional study of 39 malleolus fracture patients treated at Thai Binh General Hospital from January 2020 to August 2021. Results: 39 patients including 22 males (56.4%), 17 females (43.6%); Mean age: 43.79 ± 16.04 (from 20-73 years old). The main causes of the injuries are traffic accidents (74.4%), and daily-life accidents (25.6%). Clinical manifestations: 39 patients have symptoms of pain, limited ankle movements, and localized tenderness; Ankle malaligment (30.7%); dystrophy, fracture blisters in ankles and foot (5.1%).  X-rays: both ankles fractured (61.6%); one ankle fractured (38.4%); 20/39 patients had talus dislocation (51.2%); Transverse fractures accounted for the highest rate in medial malleolus fractures(83.9%); Isolated oblique fractures were the highest in lateral malleolus fractures (71.9%). Lateral malleolus fixed by plates; Medial malleolus fixation by cancellous screws or k-wires. The average hospitalization time was 6.97 ± 3.01 days (from 3 to 15 days).  Results of follow-up after 6 to 12 months: Excellent (46.0%); good (40.5%); moderate (10.8%); poor (2.7%). Conclusion: Malleolus fixation gives good bone healing, and few complications, it is necessary to have an appropriate rehabilitation plan for good ankle function recovery.

Article Details

Keywords

lateral malleolus fractures, medial malleolus fractures, both malleoli fractures, fixation

References

1. Đỗ Tuấn Anh (2016). Kết quả phẫu thuật gãy kín mắt cá chân ở người trưởng thành tại Bệnh viện Hữu nghị Việt Đức, Luận văn thạc sĩ y học. ĐHYHN.
2. Ma Ngọc Thành (2010). Đánh giá kết quả phẫu thuật gãy kín mắt cá chân tại Bệnh viện Hữu nghị Việt Đức, Luận văn thạc sĩ y học. ĐHYHN.
3. Trafton. P.G., Bray. T.J. Simpson. L.A (1992). Fractures and Soft Tissue Injuries of the Ankle. Skeletal Trauma. Fractures Dislocation – Ligamentous Injuries. Volum II. B. Souder company 1871 -1951.
4. Vijay Karande, Vivek P Nikumbha, Ashok Desai et al (2017). Study of surgical management of malleolar fractures of ankle in adults,International Journal of Orthopaedics Sciences 2017; 3(3): 783-787
5. SooHoo N.F, Krenek L, Eagan M.J, Gurbani B, Ko C.Y, Zingmond D.S. (2009).Complication rates following open reduction and internal fixation of ankle fractures. J Bone Joint Surg Am, 91:1042-9.
6. Day G.A, Swanson C.E, Hulcombe B.G (2001). Operative treatment of ankle fracture: a minimum ten year follow- up.Foot and Ankle Int 22: 102-106.