The Results of Percutaneous Fixation in the Treatment of Undisplaced Pott’s Fractures: A Prospective Study

Document Type : Original Article

Authors

1 Department of Orthopedic Surgery, Cairo University, Egypt.

2 Department of Orthopedic Surgery, Banha Teaching Hospital, Egypt.

Abstract

Objective
To analyze the results and functional outcome in patients with Pott’s fracture managed by percutaneous fixation.
Design
This study is a prospective case series study.
Subjects and Methods
This was a prospective, single-arm, non-randomized clinical trial, conducted at the orthopedic surgery department at Al-Hussein University Hospital and Syed Jalal University Hospital. The study was conducted on patients receiving ozone chemonucleolysis treatment in herniated lumbar discs. The follow-up duration was 6 months. The Oswestry Disability Index (ODI) questionnaire and Visual analogue scales were used to assess pain impairment and physical performance as the main outcome (VAS).
IBM SPSS 25 Windows software was used to conduct the statistical analysis.
Results
The main findings of this study were that Pott’s fractures are more common in males and that the commonest fracture site was bi-malleolar. The main postoperative findings included swelling only at evening, pain while walking and impaired stair climbing. Meanwhile, post-operative complications included prominent hardware, infection and non-union. 42.3% of the studied patients had excellent Olerud Molander Ankle Score.
Conclusions
Percutaneous fixation of Pott’s fracture showed satisfactory outcomes with minimal post-operative complications.

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