Long‐term functional and radiographic outcomes in 243 operated ankle fractures

Autor: S. M. Verhage, I. B. Schipper, J. M. Hoogendoorn
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Journal of Foot and Ankle Research, Vol 8, Iss 1, Pp n/a-n/a (2015)
Druh dokumentu: article
ISSN: 1757-1146
DOI: 10.1186/s13047-015-0098-1
Popis: Abstract Background Large comparative studies that have evaluated long‐term functional outcome of operatively treated ankle fractures are lacking. This study was performed to analyse the influence of several combinations of malleolar fractures on long‐term functional outcome and development of osteoarthritis. Methods Retrospective cohort‐study on operated (1995–2007) malleolar fractures. Results were assessed with use of the AAOS‐ and AOFAS‐questionnaires, VAS‐pain score, dorsiflexion restriction (range of motion) and osteoarthritis. Categorisation was determined using the number of malleoli involved. Results 243 participants with a mean follow‐up of 9.6 years were included. Significant differences for all outcomes were found between unimalleolar (isolated fibular) and bimalleolar (a combination of fibular and medial) fractures (AOFAS 97 vs 91, p = 0.035; AAOS 97 vs 90, p = 0.026; dorsiflexion restriction 2.8° vs 6.7°, p = 0.003). Outcomes after fibular fractures with an additional posterior fragment were similar to isolated fibular fractures. However, significant differences were found between unimalleolar and trimalleolar (a combination of lateral, medial and posterior) fractures (AOFAS 97 vs 88, p
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