Treatment and Outcome of Ankle Fractures at the Moi Teaching and Referral Hospital

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