The surgical method used for ankle fractures in this study was open reduction and internal fixation (ORIF) following the AO/ASIF (Arbeitsgemeinschaft für Osteosynthesefragen/Association for the Study of Internal Fixation) methods. Postoperatively, patients were managed with either a plaster cast (PC) or a walking boot (WB) for immobilization and support during recovery.
Key Points Explained:
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Open Reduction and Internal Fixation (ORIF)
- This is a two-step surgical procedure:
- Open Reduction: The surgeon makes an incision to realign the fractured bones into their correct anatomical position.
- Internal Fixation: Metal implants (such as plates, screws, or pins) are used to stabilize the fracture and promote proper healing.
- ORIF is commonly used for complex or displaced fractures where non-surgical methods (like casting alone) may not suffice.
- This is a two-step surgical procedure:
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AO/ASIF Methods
- The AO Foundation (Arbeitsgemeinschaft für Osteosynthesefragen) and ASIF (Association for the Study of Internal Fixation) developed standardized techniques for fracture fixation.
- These methods emphasize precise anatomical alignment, stable fixation, and early mobilization to improve outcomes.
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Postoperative Management
- After ORIF, patients were given either:
- Plaster Cast (PC): A rigid immobilization device to protect the surgical site.
- Walking Boot (WB): A removable brace that allows controlled weight-bearing and easier rehabilitation.
- The choice between PC and WB depends on factors like fracture stability, surgeon preference, and patient compliance.
- After ORIF, patients were given either:
This structured approach ensures optimal healing while balancing immobilization and early functional recovery.
Summary Table:
| Key Aspect | Description |
|---|---|
| Surgical Method | Open Reduction and Internal Fixation (ORIF) following AO/ASIF guidelines. |
| Postoperative Care | Immobilization with Plaster Cast (PC) or Walking Boot (WB) for recovery. |
| AO/ASIF Principles | Focus on anatomical alignment, stable fixation, and early mobilization. |
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