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Comparative study between close reduction internal fixation and open reduction internal fixation in lower fibula with medial mallolus fracture

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Original Article

Author Details : Keyur Shah, Rushik Gandhi*, Sanyam Panchani, Parth Patel, Ranjan Bhaiji Patariya

Volume : 6, Issue : 4, Year : 2020

Article Page : 298-302

https://doi.org/10.18231/j.ijos.2020.055

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Abstract

Background: Ankle fracture is important in sense that ankle is distal most weight bearing joint and locomotion depends upon stability of ankle mortise. The best option for management of distal fibula fracture remains unclear due to availabity of various implant and different types of fractures.
Aim: This study was conducted to know the indication for the two modalities of surgical fixation as this comparative study between close reduction internal fixation and open reduction internal fixation in lower fibula (at syndesmotic level: Weber type B) with lower tibia or medial malleolar fracture. Aim of the study
was to perform randomised controlled trial to compare complication and functional modalities in fixation of fibula
Materials and Methods: This was a randomised prospective and comparative study for the methods used for management of the lower fibula fracture (Weber type B) done In dept. of orthopaedics, civil hospital, Ahmedabad within time of 1st may 2019 to 1st may 2020 in total of 62 patient in which 39 patient were operated by CRIF and 23 patient operated by ORIF
Results: There was significant difference in rate of union as platting was found superior to nailing there were less complication in nailing as compare to platting and better functional score found with nailing.
Conclusion: Nailing in lower fibula fracture is a better technique with comminuted ankle fractures that provides better functional outcome with fewer complication than platting. By the syndesmotic point of view there is no such diffrence between crif and orif method for post weight bearing syndesmotic failure. There seems higher chances of ankle stiffness perticularly at syndesmotic level seen after orif method.

Keywords: There was no significant difference in syndesmotic diastasis during cyclic loading or at maximal external rotation between the rod and plate groups. Post-cycle external rotation stiffness across the syndesmosis was significantly higher for the locking pla

How to cite : Shah K, Gandhi R, Panchani S, Patel P, Patariya R B , Comparative study between close reduction internal fixation and open reduction internal fixation in lower fibula with medial mallolus fracture. Indian J Orthop Surg 2020;6(4):298-302

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