Management, Anatomical and Functional Outcomes of Malleolar Fractures at the District Teaching Hospital of Oueme-Plateau in Benin (DTH-OP)

Abstract

Introduction: Malleolar fractures are commonly treated in orthopedic traumatology. The purpose of this study was to describe the management and evaluate the anatomical and functional outcomes of these fractures. Patients and Methods: In this study, 106 patients were treated for malleolar fractures. The mean age was 41.8 years, with 70 men (66%) and 36 women (34%). Therapeutic methods were either orthopaedic (n=57; 54%) or surgical (n=49;46%). The initial anatomical results were evaluated according to Lecestre et Ramadier, criteria and the functional results were assessed using the AOFAS score. Results: Anatomical reduction was performed on 65 (61.3%) patients, of whom 28 (26.4%) were treated orthopedically and 37 (34.9%) underwent osteosynthesis. At the last follow-up, of the 79 patients (74.5%) reviewed, 41 (51.9%) had excellent functional results and 17 had good results. Conclusion: At DTH-OP, malleolar fractures are relatively common. The treatment is either orthopedic or surgical depending on the type of fracture and the patient's financial ability to bear the costs.