| Paper title: |
Conservative approach of bimaleolar fracture, case study |
| DOI: | https://doi.org/10.4316/SAM.2024.0207 |
| Published in: | Volume XVII issue 2/ 2024 |
| Publishing date: | 2024 |
| Pages: | |
| Author(s): | Breha Alexandru Mihai
Pavel Răzvan Cristian Miron Evelina Ioana |
| Abstract. | Bimalleolar fractures are injuries that cause high instability, causing significant dysfunction in the lower body. Conservative recovery involves a period of immobilization of approximately 6 weeks, followed by an adapted exercise program according to the patient’s potential. Physiotherapy exercises perform mechanical work, increase mobility and muscle strength, improve elasticity and muscle tone, being the main pillar in achieving joint functionality. Electrotherapy and ultrasound therapy are adjunctive techniques that were applied in the 3rd stage of recovery, proving their usefulness in accelerating the regenerative process. The phasing of the recovery program, the monitoring of functional progress, the adaptation of the recovery protocol, are essential treatment principles, being indispensable for the medical team. The conservative treatment applied to the young patient must be managed by a multidisciplinary team that monitors the entire recovery process in order to provide a successful medical act. |
| Keywords: | Bimalleolar fracture, conservative recovery, tibial pillar, physical therapy exercises |
| References: |
1. K. Koujan and A. Y. Saber, “Bimalleolar Ankle Fractures,” Radiopaedia.org, Feb. 2023, doi: 10.53347/rid-182305. 2. D. Manganaro and K. Alsayouri, “Anatomy, Bony Pelvis and Lower Limb: Ankle Joint,” StatPearls, May 2023, Available: https://www.ncbi.nlm.nih.gov/books/NBK545158/ 3. G. Arrondo and F. P. Segura, “Ankle Fractures,” Foot and Ankle Disorders: A Comprehensive Approach in Pediatric and Adult Populations, pp. 1165–1205, Aug. 2023, doi: 10.1007/978-3-030-95738-4_52. 4. C. L. Brockett and G. J. Chapman, “Biomechanics of the ankle,” Orthop Trauma, vol. 30, no. 3, p. 232, Jun. 2016, doi: 10.1016/J.MPORTH.2016.04.015. 5. J. W. Park, S. J. Lee, H. J. Choo, S. K. Kim, H. C. Gwak, and S. M. Lee, “Ultrasonography of the ankle joint,” Ultrasonography, vol. 36, no. 4, p. 321, Oct. 2017, doi: 10.14366/USG.17008. 6. K. Ashby, B. N. Adams, and M. Shetty, “Appropriate Magnetic Resonance Imaging Ordering,” StatPearls, Nov. 2022, Available: https://www.ncbi.nlm.nih.gov/books/NBK565857/ 7. H. Goost, M. D. Wimmer, A. Barg, K. Kabir, V. Valderrabano, and C. Burger, “Fractures of the Ankle Joint: Investigation and Treatment Options,” Dtsch Arztebl Int, vol. 111, no. 21, p. 377, May 2014, doi: 10.3238/ARZTEBL.2014.0377. 8. R. Singh et al., “Ankle Fractures: A Literature Review of Current Treatment Methods,” Open J Orthop, vol. 4, no. 11, pp. 292–303, Nov. 2014, doi: 10.4236/OJO.2014.411046. 9. D. P. J. Smeeing et al., “Weight-bearing or non-weight-bearing after surgical treatment of ankle fractures: a multicenter randomized controlled trial,” European Journal of Trauma and Emergency Surgery, vol. 46, no. 1, p. 121, Feb. 2020, doi: 10.1007/S00068-018-1016-6. 10. D. A. Delgado et al., “Validation of Digital Visual Analog Scale Pain Scoring With a Traditional Paper-based Visual Analog Scale in Adults,” J Am Acad Orthop Surg Glob Res Rev, vol. 2, no. 3, Mar. 2018, doi: 10.5435/JAAOSGLOBAL-D-17-00088. 11. N. P. F. Pequeno, N. P. F. Pequeno, N. L. de A. Cabral, D. M. Marchioni, S. C. V. C. Lima, and C. de O. Lyra, “Quality of life assessment instruments for adults: a systematic review of population-based studies,” Health Qual Life Outcomes, vol. 18, no. 1, Jun. 2020, doi: 10.1186/S12955-020-01347-7. 12. M. Leigheb et al., “Translation, cross-cultural adaptation, reliability, and validation of the italian version of the Foot and Ankle Disability Index (FADI),” Acta Bio Medica : Atenei Parmensis, vol. 91, no. 4-S, p. 160, Jun. 2020, doi: 10.23750/ABM.V91I4-S.9544. 13. T. Paternostro-Sluga et al., “Reliability and validity of the Medical Research Council (MRC) scale and a modified scale for testing muscle strength in patients with radial palsy,” J Rehabil Med, vol. 40, no. 8, pp. 665–671, Sep. 2008, doi: 10.2340/16501977-0235. 14. D. Montoro-Cremades, A. Tardáguila-García, D. Navarro-Pérez, Y. García-Álvarez, M. López-Moral, and J. L. Lázaro-Martínez, “Intra-Observer and Inter-Observer Reliability of Ankle Circumference Measurement in Patients with Diabetic Foot: A Prospective Observational Study,” J Clin Med, vol. 12, no. 22, p. 7166, Nov. 2023, doi: 10.3390/JCM12227166. |
| Back to the journal content | |