Yassin, I., Hassan, M., Sultan, M. (2018). Management of Isolated Lateral Malleolar Fracture. The Egyptian Journal of Hospital Medicine, 73(7), 7182-7188. doi: 10.21608/ejhm.2018.17677
Ismail A. Yassin; Mohammed A. Hassan; Mohammed A. Sultan. "Management of Isolated Lateral Malleolar Fracture". The Egyptian Journal of Hospital Medicine, 73, 7, 2018, 7182-7188. doi: 10.21608/ejhm.2018.17677
Yassin, I., Hassan, M., Sultan, M. (2018). 'Management of Isolated Lateral Malleolar Fracture', The Egyptian Journal of Hospital Medicine, 73(7), pp. 7182-7188. doi: 10.21608/ejhm.2018.17677
Yassin, I., Hassan, M., Sultan, M. Management of Isolated Lateral Malleolar Fracture. The Egyptian Journal of Hospital Medicine, 2018; 73(7): 7182-7188. doi: 10.21608/ejhm.2018.17677
Department of Orthopedic Surgery,Faculty of Medicine, Al-Azhar University
Abstract
Background: fractures of the lateral malleolus are the most common type of fracture. Various methods of lateral malleolar fixation have been utilized, all with acceptable results. Aim of the Work: to focus light on important modalities in management of isolated lateral malleolar fracture considering the advantages, the disadvantages and determine different protocol of management regarding the most recent guidelines for this group of patients. Patients and Methods: this study was conducted on twenty patients with fresh isolated lateral malleolar fracture. No or only minimal pain on the medial side was also a prerequisite, safeguarding against a ligamentous SE IV injury of the deltoid ligament. The patients were 4 men and 16 women with a mean age of 36 (22-50) years old. Results: all fractures united within an average time to union of 8.2 weeks. in all patients the average time to full weight bearing was 7.2 weeks. Most of complications were minor and resolved within 21 days. Conclusion: good anatomical reduction is essential for good clinical outcome irrespective of the type of fracture. Nevertheless, if an acceptable reduction cannot be achieved using closed techniques, one should proceed with open reduction and internal fixation without hesitation.
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