[Factors associated with functionality in patients with closed ankle fracture].

Autor:	Martínez-Barro D; Instituto Mexicano del Seguro Social, Hospital General Regional No. 6 'Ignacio García Tellez', Servicio de Rehabilitación. Ciudad Madero, Tamaulipas, México., Escalante-Montes PK; Instituto Mexicano del Seguro Social, Hospital General Regional No. 270, Servicio de Rehabilitación. Ciudad Reynosa, Tamaulipas, México., Contreras-Del Carmen N; Instituto Mexicano del Seguro Social, Hospital General Regional No. 220, Servicio de Rehabilitación. Toluca, Estado de México, México., Cortes-Aguirre CS; Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Hospital General 'Dr. Gaudencio González Garza', Servicio de Rehabilitación Integral. Ciudad de México, México., Peralta-Ildefonso D; Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Hospital General 'Dr. Gaudencio González Garza', Servicio de Rehabilitación Integral. Ciudad de México, México., Hernández-Amaro H; Instituto Mexicano del Seguro Social, Unidad Médica de Alta Especialidad de Traumatología, Ortopedia y Rehabilitación 'Dr. Victorio de la Fuente Narváez', Unidad de Medicina Física y Rehabilitación Norte, División de Educación. Ciudad de México. México., Rojano-Mejía D; Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Coordinación de Investigación en Salud. Ciudad de México, México.
Jazyk:	Spanish; Castilian
Zdroj:	Revista medica del Instituto Mexicano del Seguro Social [Rev Med Inst Mex Seguro Soc] 2023 May 02; Vol. 61 (3), pp. 283-288. Date of Electronic Publication: 2023 May 02.
Abstrakt:	Background: Ankle fractures are among the most frequent fractures in the lower limb, predominantly affecting young people and representing approximately 9% of all fractures. Objective: To identify the factors associated with functionality in patients with closed ankle fracture. Material and Methods: Observational and retrospective study. Records of people with a diagnosis of ankle fractures admitted to rehabilitation between January to December 2020 in a Physical Medicine and Rehabilitation Unit of a third level hospital were included. Age, sex, body mass index (BMI), days of disability, mechanism of injury, type of treatment, length of stay in rehabilitation, type of fracture and functionality were captured. Chi-squared and Student's t test were used to determine the association. Subsequently a multivariate analysis with binary logistic regression was performed. Results: The average age of the subjects was 44.8 years, the female sex was presented in 54.7%, the average BMI was 28.8%, 66% carried out a paid work activity, 65% received surgical treatment, the average time of disability was 140 days, the factors associated with functionality independently were age, pain, dorsiflexion and plantar flexion upon admission to rehabilitation. Conclusions: Ankle fractures occur in a young population and the factors associated with functionality were age, dorsiflexion, plantar flexion, and pain upon admission to rehabilitation. (© 2023 Revista Médica del Instituto Mexicano del Seguro Social.)
Databáze:	MEDLINE
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