Malleolar Fractures in Adults: Therapeutic and Evolutionary Aspects at the Dalal Jamm National Hospital in Guédiawaye

Introduction: Malleolar fractures are joint injuries that seriously compromise ankle function. They are treated surgically or orthopedically, depending on the indications. The aim of our study was to evaluate the anatomy and function of these fractures. Material and methods: We conducted a retrospective descriptive study over a 15-month period of 50 patients in the Orthopedics-Traumatology Department of the Dalal Jamm National Hospital in Guédiawaye (Senegal). Results: Treatment was orthopedic in 29 patients (58%) and surgical in 21 patients (42%). We assessed our patients with a minimum follow-up of 6 months. Our results were satisfactory overall, with 84% good results according to the Kitaoka score. Orthopedic treatment and surgical treatment gave 79.31% and 90.47% good results respectively. Seven (07) patients had complications. One (01) case of postoperative infection, two (02) cases of secondary displacement, two (02) cases of malunion and two (02) cases of pseudarthrosis. Conclusion: At the end of this study, we can conclude that surgical and orthopedic treatment gives good functional and anatomical results, provided that the reduction criteria are rigorously respected. Introduction: Malleolar fractures are joint injuries that seriously compromise ankle function. They are treated surgically or orthopedically, depending on the indications. The aim of our study was to evaluate the anatomy and function of these fractures. Material and methods: We conducted a retrospective descriptive study over a 15-month period of 50 patients in the Orthopedics-Traumatology Department of the Dalal Jamm National Hospital in Guédiawaye (Senegal). Results: Treatment was orthopedic in 29 patients (58%) and surgical in 21 patients (42%). We assessed our patients with a minimum follow-up of 6 months. Our results were satisfactory overall, with 84% good results according to the Kitaoka score. Orthopedic treatment and surgical treatment gave 79.31% and 90.47% good results respectively. Seven (07) patients had complications. One (01) case of postoperative infection, two (02) cases of secondary displacement, two (02) cases of malunion and two (02) cases of pseudarthrosis. Conclusion: At the end of this study, we can conclude that surgical and orthopedic treatment gives good functional and anatomical results, provided that the reduction criteria are rigorously respected.