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Title

ANKLE FRACTURES; AN EPIDEMIOLOGICAL STUDY ON PATTERN OF ANKLE FRACTURES IN A TERTIARY HOSPITAL; A ONE YEAR PROSPECTIVE OBSERVATION.

Authors

Khan, Umar Zia; Muhammad, Wali; Qureshi, Abdur Rehman

Abstract

Objectives: To evaluate the pattern of ankle fractures presented to our regional trauma 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 were classified according to Lauge-Hansen and Danis-Weber classifications. Medial malleolus comminution and presence of talar shift was recorded. The pattern of fractures was analyzed and compared with literature. Results: 52.3% sustained these fractures while running/walking followed by road traffic accident in 25.2%. Supination external rotation injures and Weber B were the commonest followed by supination adduction injuries and Weber A fractures. 25 % of ankle fractures were open. 27.1 % showed medial malleolus comminution and talar shift was noticed in 77% cases. Conclusion: We observed high proportion of open and unstable fractures along with higher rate of medial malleolus comminution in our patients. High proportion of supination adduction injuries were recorded which is associated with impaction injury of medial tibial plafond.

Subjects

ANKLE fractures; EPIDEMIOLOGY

Publication

Professional Medical Journal, 2018, Vol 25, Issue 8, p1160

ISSN

1024-8919

Publication type

Academic Journal

DOI

10.29309/tpmj/2018.25.08.53

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