Volume 13 | Issue 4 | Oct-Dec 2018 | Page 4-6 | Rajendraprasad Butala, Vinit Vimal Karn, R.G Khedekar, Prakash Samant
Authers: Rajendraprasad Butala [1], Vinit Vimal Karn [1], R.G Khedekar [1], Prakash Samant [1].
[1] Department of Orthopaedics & Trauma, D.Y HOSPITAL, Navi Mumbai.
Address of Correspondence
Dr. Vinit Vimal Karn,
Department of orthopaedics, D.Y Patil Hospital, Nerul, Navi Mumbai 400706
Email: drvinitkarn@gmail.com
Abstract
Introduction: A prospective study was conducted from November 2014 to October 2016 to treat medial malleolus fractures using modified TB fixation method where instead of SS wire Polyglycolic 1-0 sutures were used and result were evaluated.
Materials & methods: All patients with fracture Medial Malleolus with or without lateral malleolus fracture were included in our study. Tension band suturing with 2 x 1.5 mm kirschner wire and Polyglycolic1-0 suture was done by same surgeon and total 20 patients (20 ankles) were evaluated by AOFAS score and Baird and Jackson scoring system.
Results: Weber Type B was most common(11 cases) 55% with age group of 36-50yrs contributing to(12 cases) 60% .Mean age group was 44.5yrs and mean union period was 8 weeks. Fracture union time was same as compared to SS wire TBW figure of eight method and overall results were comparable to most studies. In our study, all 20 cases after brief follow up of 6 months showed complete union, no patient was infected and there wasn’t any residual pain or discomfort.
Conclusion: Tension band suturing of fracture Medial Malleolus with kirschner wires and Polyglycolic1-0 sutures is an innovative mechanism with additional benefits over conventional TBW with SS wire and Kirschner wires. Advantages were decreased hardware in situ; easier implant removal, less chances of implant exposure, infection and wound dehiscence. Simplicity of procedure with faster recovery and easier implant removal makes its one of many options to fix Medial Malleolus fractures.
Keywords: Medial Malleolus, TBW, Polyglycolic 1-0, SS wire, AOFAS score.
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| How to Cite this article: Butala R, Karn V V, Khedekar R G, Samant P. An innovative mechanism of tension band fixation of fracture Medial Malleolus with kirschner wires and Polyglycolic 1-0 sutures: Methods and outcomes (Butala’s Polyglycolic Tension Band fixation Method). Journal of Trauma and Orthopaedic Surgery Oct-Dec 2018;13(4): 4-6. |