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Open ankle fractures. The indications for immediate open reduction and internal fixation
1University of California, Los Angeles School of Medicine, Division of Orthopaedic Surgery 90024-1749.
Clinical Orthopaedics and Related Research
|July 1, 1993
Summary
Immediate treatment of open ankle fractures with debridement, irrigation, reduction, and internal fixation yields excellent results, especially for Grade I and clean Grade II injuries.
Area of Science:
- Orthopedic Surgery
- Trauma Management
Background:
- Open ankle fractures are severe injuries requiring prompt intervention.
- Effective management strategies are crucial to minimize complications and optimize outcomes.
Purpose of the Study:
- To evaluate the efficacy of immediate surgical management for open ankle fractures.
- To assess outcomes and complication rates associated with early intervention.
Main Methods:
- Twenty-two patients with open ankle fractures underwent irrigation and debridement, reduction, and immediate internal fixation.
- Patients were followed for an average of 32 months.
- Injuries were classified by Gustilo-Anderson (Grade I, II, III) and Danis-Weber schemes.
Main Results:
- Excellent results were achieved in 64% of patients, with good results in 23%.
- No deep infections or nonunions were reported.
- Minor complications included superficial wound ulcerations and one loss of reduction.
Conclusions:
- Immediate debridement, irrigation, reduction, and internal fixation are indicated for open ankle fractures.
- This approach is particularly beneficial for Grade I and clean Grade II open injuries.
- Early surgical intervention can lead to favorable outcomes with low complication rates.