The outcome of percutaneous fixation of medial and lateral maleoli(Pott1s) fracture among adults in Erbil

Abdulkadr Muhammed  Sleman

doi:10.56056/amj.2017.30

Authors

Abdulkadr Muhammed Sleman College of Medicine/Hawler medical university

DOI:

https://doi.org/10.56056/amj.2017.30

Keywords:

Erbil, Pott,s fracture

Abstract

Background and objectives: Potts fractures are common fractures among elderly age community associated with soft tissue swelling. Percutaneous fixation is regarded as a newly developed technique for surgical intervention of Pott^`s fractures.To assess the outcome of percutaneous fixation done for patients presented with Potts fractures to Erbil hospitals.

Methods: This study was a follow up(prospective) study conducted in the Erbil teaching hospital in Erbil city from 1st of March, 2014 to 30th of June, 2016 on 32 adult age patients with Pott^`s ankle fracture. Radiographs were regularly obtained 6 weeks postoperatively to check for union and 12 weeks postoperatively to evaluate healing, and as needed after more than12 weeks.

Results: Mean age of Pott^`s fracture patients was 43.3 years with predominance of male gender (53.1%). The main mechanism of injury was fall from height (53.1%) and common fracture type (according to Danis-Weber classification) was A (68.8%). The union rate of Potts ankle fracture was 100% with mean union duration as 9 weeks. The reported postoperative complications were tenderness (9.4%), malunion (9.4%), infection (6.3%) and painful bursa (6.3%). Excellent functional rating scale represented 68.7% of Pott^`s fracture patients postoperatively.

Conclusions: Percutaneous Screw fixation of Pott^`sankle fracture had good outcomes.

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