Clinical outcome and concomitant injuries in operatively treated fractures of the lateral process of the talus

Autor:	Oliver Gottschalk, Markus Walther, Hubert Hörterer, Alexander T. Mehlhorn, Sebastian F. Baumbach, A. Röser, Stefan Lemperle, Sebastian Altenberger
Jazyk:	angličtina
Rok vydání:	2019
Předmět:	Adult Male medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Adolescent Sports medicine medicine.medical_treatment Osteoarthritis Talus Fractures Bone Young Adult 03 medical and health sciences 0302 clinical medicine Rheumatology Fracture Fixation snowboarder’s ankle Internal medicine medicine Humans Orthopedics and Sports Medicine Medical history Patient Reported Outcome Measures Lateral process of the talus Retrospective Studies 030203 arthritis & rheumatology 030222 orthopedics Rehabilitation business.industry Incidence Retrospective cohort study Middle Aged medicine.disease Surgery Treatment Outcome Fracture snowboarder’s fracture Concomitant Orthopedic surgery Female lcsh:RC925-935 business Research Article Follow-Up Studies
Zdroj:	BMC Musculoskeletal Disorders, Vol 20, Iss 1, Pp 1-9 (2019) BMC Musculoskeletal Disorders
ISSN:	1471-2474
DOI:	10.1186/s12891-019-2603-3
Popis:	Background The aim of this study was to review the patient rated outcome (PROM) of surgically treated fractures to the lateral process of the talus (LPTF) and identify factors influencing the outcome. Methods Retrospective study with a current follow-up. Eligible were all patients treated surgically for a LPTF (n = 23) with a minimum follow-up of one year. Demographics, medical history, trauma mechanism, fracture characteristics, concomitant injuries, treatment details, complications, return to work and sports were assessed retrospectively. The current follow-up included the VAS FA, Karlsson Score, and SF-12. The primary outcome was the VAS FA. Secondary aim was the identification of parameters influencing the PROMs. Results 22 patients (96% follow-up) with a mean age of 32 ± 9 (18 to 49) years were included. 73% suffered a Hawkins Type 1, 23% a Type 2, and one patient a Type 3 fracture. 82% suffered concomitant injuries. 9% suffered minor surgical side infections, 50% developed symptomatic subtalar osteoarthritis. At final follow-up (44 ± 2 (12 to 97) months), the mean VAS FA Overall was 77 ± 21 (20 to 100), the Karlsson Score 72 ± 21 (34 to 97), and for the SF 12 the PCS 53 ± 8 (36 to 64) and the MCS 53 ± 7 (32 to 63). 50% of patients returned to their previous level of sports. Hawkins Type 1 fractures resulted in better VAS FA Overall score than Type 2 fractures. Posttraumatic subtalar osteoarthritis was the independent factor associated to a poor patient rated outcome (VAS FA, Karlsson Score). Conclusion After a follow-up of over 3.5 years, surgically treated LPTF resulted in only moderate results. 50% suffered posttraumatic symptomatic subtalar osteoarthritis, which was the primary independent parameter for a poor outcome following LPTF. Level of evidence Level III. Electronic supplementary material The online version of this article (10.1186/s12891-019-2603-3) contains supplementary material, which is available to authorized users.
Databáze:	OpenAIRE
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