Evaluation of the Results of Operative Management of Malleolar ankle Fractures And Distal end Tibia

Abstract

The ankle may be damaged either by direct or more commonly by indirect rotational , translational and axial forces . These result in subluxation or dislocation of the talus out of the

ankle mortise , usually associated with a fracture complex .

Malleolar injuries are articular fractures. The treatment aims at restoring normal joint anatomy and providing sufficient stability for early movement. While stable undisplaced fracture patterns can be treated by

closed methods , anatomical restoration and stable fixation of the unstable displaced fracture is best achieved by open reduction and internal fixation. ' The decision to operate is not based on the fracture pattern alone. The ankle joint is substantially subcutaneous and so the condition of the soft tissue envelope is of paramount importance Patient factors such as age , diabetes and osteoporosis may alter

42 indications and fixation techniques for this fracture . < )

Anatomically the ankle joint consists of the articulation of three bones : the distal aspect of the tibia , the distal aspect of the fibula , and the talus . Biomechanically during weight - bearing , between 80 and 90

percent of the load is transmitted through the tibial plafond to the dome of the talus. In order to describe fractures about the ankle and to

communicate the results of treatment authors have used classification systems based on radiographic presentation .