Affordable Access

Access to the full text

Operative Treatment of Ankle Fractures: Predictive Factors Affecting Outcome

Authors
  • De las Heras Romero, Jorge1
  • Lledó Alvarez, Ana2
  • Torres Sánchez, Carmen3
  • Luna Maldonado, Aurelio3
  • 1 Trauma and Orthopaedics, University General Hospital Reina Sofía, Murcia, ESP
  • 2 Regional Statistical Center, Treasury and Public Administration Council, Murcia, ESP
  • 3 Forensic & Legal Medicine, University of Murcia School of Medicine, Murcia, ESP
Type
Published Article
Journal
Cureus
Publisher
Cureus, Inc.
Publication Date
Oct 18, 2020
Volume
12
Issue
10
Identifiers
DOI: 10.7759/cureus.11016
PMID: 33094040
PMCID: PMC7574997
Source
PubMed Central
Keywords
License
Green
External links

Abstract

Purpose Surgical management of ankle fractures has been extensively studied in literature but studies investigating validated clinical results are lacking and controversial. The purpose of this study was to evaluate functional and health-related quality of life (HRQL) outcomes after surgically treated ankle fractures and to detect some of their predictors. Methods Two hundred sixty-six skeletally mature patients who underwent surgery for an isolated ankle fracture from 2006 to 2017 were retrospectively identified from our hospital records and included in the study. All patients were evaluated at one, three, six and 12 months post-injury with clinical and radiographic examination. Outcome measures recorded at final two years minimum follow-up included patient-reported pain, patient satisfaction, functional (American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score) and quality of life (Short Form (SF) 36 score) status. Results Patient satisfaction score was 8.4 out of 10, Visual Analogue Scale mean score was 2.3, complication rate was 36.5% and mean AOFAS ankle-hindfoot score was 87.3. Mean SF36-physical summary score was 77.9 and SF36-mental summary score was 81.1. The injury demonstrated a significant effect on physical function, role-physical, bodily pain and social functioning SF-36 subdomains. Functional outcome was significantly related to occupation, syndesmotic lesion, number of fractured malleoli and delay to surgery. Main predictors of quality of life were age, occupation, cause of injury, syndesmotic lesion, number of fractured malleoli and waiting time to surgery. Conclusions Ankle fractures have a considerable impact on functional and quality of life status of patients. Occupation, presence of syndesmotic injury, Pott's classification and surgery delay must be considered as predictors of final outcome.

Report this publication

Statistics

Seen <100 times