Treatment and Outcome of Ankle Fractures at the Moi Teaching and Referral Hospital
Kilonzo N1, Mwangi HR1, Lelei LK2, Nyabera S1, Ayumba BR2
1. Moi Teaching and Referral Hospital
2. School of Medicine, Moi University
Correspondence to: Dr. Kilonzo Ndulu, P.O Box 3-30100, Eldoret, Kenya, Email: kilonzondulu@yahoo.com
 
Abstract
Background: Ankle fractures are common and protocols for their management are generally well established. Despite this, a significant proportion of the patients get unfavourable outcomes after being managed for this injury. This study looked at the treatment options offered and their outcome at our unit. Methodology: A prospective study was conducted to examine ankle fracture patients presenting at our unit from 1st November 2009 to 30th April 2011. All patients were followed up was for 6 months where clinical and radiological evaluations recorded to determine outcome. Results: The mean age of patients was 47years with the ratio of female to male being 1.5:1. An infection rate of 10% in patients treated by ORIF and 33.3% in open fractures was documented. At 6 months follow up, there was a higher rate of complications in the unstable fractures treated non-operatively (92.3%) compared to unstable fractures treated surgically (37.7%) (p<0.001). Conclusion: The rate of infection after surgical management was high and measures are required to mitigate this. The unstable ankle fractures treated non-operatively have a high rate of complications and should be managed operatively.
 
Key Words: Ankle fractures, Treatment outcome, Developing country
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