Sreesobh Kizhakkepat Viswanathan1, Arun Gopalakrishnan2
BACKGROUND Bone crack mending impairment identified with mechanical issues has been to a great extent rectified by advances in break management. Better conventions, stricter controls of time and capacity, and equipment and surgical procedure advancement have added to better prognosis even in complex breaks. SUBJECTS AND METHODS The x-ray film was taken from the Department of Radiology. The fifty patients those who attended for x-ray scanning in the Department of Radiology between the year 2013 to 2014 were included in the study. The following parameters was assessed for this study: Talocrural angle, Tibial overlap, Tibiofibular distance, Joint space A, and Joint space B. All the parameters were measured by using Rhythm radiography software in the Department of Radiology. The total 50 study population were divided into two groups: 1) mean+/-<2SD whereas in group 2 mean+/->2SD. RESULTS The morphometry of radiograph such as Tibial overlap (4.25±1.76), Talocrural angle (26.6±1.23), Joint space A (7.21±0.23), Joint space B (6.54±0.56), and Tibiofibular distance space (9.18±0.12). The results of morphometry showed improvement in above parameters after surgery. However, even after three weeks of surgery, better improvement was observed in all the parameters. When compared between the group 1 and group 2 parameters, gait was normal in the group 1 (100%) and where as in the case of group 2 (23.08%), which was statistically significant. Pain was present in the group 1 (10.81%) and in group 2 (69.23%). Morbidity rate was nil in the case of group 1 and not in group 2. CONCLUSION The study concludes that the five morphometric points taken into consideration indeed is useful in assessing the prognostic outcome in lower end of tibia and fibula fractures after surgery.
