EFFECT OF DYNAMIC HINDFOOT VALGUS DEFORMITY FOLLOWING INTRAMEDULLARY FIXATION OF TIBIA AND CONSERVATIVELY MANAGED PROXIMAL AND MIDDLE 1/3RD FIBULAR FRACTURES ON ANKLE FUNCTION RETROSPECTIVE STUDY
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Published:2023-02-01
Issue:
Volume:
Page:6-8
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ISSN:
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Container-title:INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH
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language:en
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Short-container-title:ijsr
Author:
Arun S Daniel1, Babu M B Sathik2, Kumar K Prem3, Ganesh A.4
Affiliation:
1. Post Graduate trainee, Department of Orthopaedics, Chettinad Hospital and research institute, Kelambakkam, tamilnadu, India. 2. Professor, Department of Orthopaedics, Chettinad Hospital and research institute, Kelambakkam, Tamilnadu, India. 3. Associate professor, Department of Orthopaedics, Chettinad Hospital and Research Institute, Kelambakkam, Tamilnadu, India 4. Assistant professor, Department of Orthopaedics, Chettinad Hospital and Research Institute, Kelambakkam, Tamilnadu, India
Abstract
Objective: Evaluate Effect of dynamic hindfoot valgus deformity following intramedullary xation of tibia and conservatively managed proximal
and middle 1/3rd bular fractures on ankle function Retrospective study The study involve Design: Materials and methods : d 20 patients who
had undergone conservative management for proximal to middle one-third (except distal one-third level) bular fracture and who had unilateral
middle and distal one-third tibial fractures treated by anatomic reduction and interlocking intramedullary nail xation. The Outcome Measures:
Knee Injury and Osteoarthritis Outcome Score (KOOS) and the Foot and Ankle Disability Index Score were used to calculate functional outcome
ratings for each patient. In addition, Mean Length of bula and Mean hindfoot valgus was observed. 20 patients were studied The mean Results:
KOOS score was 86.5, and the mean FADI score was 89.4. [8,9] The statistical difference in FADI and KOOS in cases of operated side and the
contralateral side were statistically insignicant leading to the conclusion that the occurrence of the hindfoot valgus angulation does not cause any
functional impairment of the ankle. The increase in calcaneal valgus on the clinical hindfoot examination was a mean of 6 compared to that of the
other extremity. Fibular shortening was identied in 14 cases and mean bular shortening was found to be 1.1 cm. Dynamic hindfoot Conclusions:
valgus deformity is a foreseen complication in cases of distal diaphyseal fractures of tibia treated with intramedullary nailing along with
conservatively managed concurrent proximal and middle third bular fractures. This deformity is predominantly seen in cases where bular
shortening occurs but its effect on the ankle function is almost unhindered.
Publisher
World Wide Journals
Subject
General Medicine,Emergency Medicine,Sociology and Political Science,History,Literature and Literary Theory,Linguistics and Language,Language and Linguistics,Library and Information Sciences,Linguistics and Language,Literature and Literary Theory,Linguistics and Language,Language and Linguistics,Cultural Studies,Arts and Humanities (miscellaneous),Cultural Studies,Literature and Literary Theory,Linguistics and Language,Sociology and Political Science,Visual Arts and Performing Arts,History,Language and Linguistics,Cultural Studies,Physiology (medical),Neurology,Neuropsychology and Physiological Psychology,Physiology,Complementary and alternative medicine,Clinical Psychology
Reference13 articles.
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