Tratamiento quirúrgico de las fracturas de tobillo tipo B. Serie de casos

Abstract

IntroductionAnkle fractures represent approximately 9% of all fractures. They have a bimodal distribution, with a peak in young male patients and another one in female patients over 60 years. Materials and methodsA retrospective study was performed, conducted in a IV level hospital. All patients of both gender, aged 16 to 84 years were included, with AO 44B ankle fractures, surgically treated between January 2002 and December 2012. We excluded patients with associated diseases like diabetes, multiple trauma and multiple fractures Results407 patients were treated by direct reduction and osteosynthesis, where 56.7% were male. The average age was 43.32±5.65 years. The most common mechanism of trauma was simple fall, followed by motor vehicle accidents. The most common type of fracture was the AO 44B2.2, followed by AO 44B1.1. 7% of all fractures were open. 19,16% presented complications Discussion and conclusionsThe treatment of ankle fractures includes an appropriate imaging, fast attention and ideal surgical technique for the specific fracture type. Level of evidenceIV (case series)