الفهرس 
REVIEW OF LITERATUREOnly 14 pages are availabe for public view
 |  | from | 74 |  |  |
| | | from | 74 | | |
Abstract
The purpose of this prospective study was to evaluate radiological and functional results of open reduction and internal fixation of posterior malleolus through posterolateral approach.
This study included a total of twenty patients. These patients varied in age from 25 to 60 yrs. With (65%) females and (35%) males. (60%) had fractures on their right side, whereas (40%) had fractures on their left side. 10% had isolated posterior malleolus fracture, 30% had bimalleolar fractures including posterior malleolus and 60% had trimalleolar fracture. According to mechanism of trauma. These patients were categorized as (70%) twisting injury. (25%) fall down stairs. And (5%) fall from height (FFH).
According to operative data. Patients were categorized as (50%) had less than 3 days as time lapse before surgery. And (50%) had more than 3 days. (75%) had operative time less than 120 minutes. And (25%) had operative time more than 120 minutes.
Cases were evaluated according to standardized mean of foot and ankle core score. 14 patients (70%) gave score more than 90 from 100.6 patients (30%) gave score or less than 90 from 100. And standardized mean of shoe comfort scale.10 patients (50%) had score more than 90 from 100. 10 patients (50%) had score or less than 90 from 100(score more than 90 indicates good functional outcome of ankle joint).
Some patients suffered from some complications as infection which happened in 2 cases (10%). one case from these two cases underwent hardware removal (5%). And one case had nonunion after 6 months follow up (5%).
There was no significant relationship between age, type of fracture, sex or postoperative complications and standardized mean of foot and ankle core score. There was no significant relationship between operative time and score. There was significant relationship between operative time and type of ankle fracture.
Posterolateral approach enables us to anatomically fix posterior malleolar fractures and to fix lateral malleolar fractures through same incision. This method of fixation increases stability and congruity of ankle and decreases need of trans-syndesmotic screws with low incidence of infection and secondary arthritis.