Tratamiento de las fracturas de tobillo con polaina funcional conformada

Résumé

A total of 35 ankle fractures treated with a functional below-the-knee brace were retrospectively studied. The follow-up period was one year. There were displaced and non displaced fractures, but in all of them was possible to achieved a satisfactory reduction either orthopaedically or with a minimal osteosynthesis. Functional bellow-the-knee bracings was performed according to Esteve. Different parameters such as motion, pain, walking ability and fracture stability were clinically assesed. Fracture reduction and joint consolidation were radiographically evaluated with weight-bearig in the affected leg. The age average was 53 years. Among fractures predominated casual fall etiology (86%) and supination type. The duration of the no loading immovilization period way 3-4 weeks. The functional casting period was 4 weeks and the readaptative period was 2-3 weeks. Based on the clinical and radiological assessments, the results were excellent in a 2 1 % of cases, good in 67%, fair in 10% and poor in 7%.