Predictors of Functional Outcome in Unstable Ankle Fractures Treated Surgically – A Prospective Cohort Study
https://doi.org/10.5704/MOJ.2103.013
- Author:
Balaji G
1
;
Bhukya R
1
;
Nema S
1
;
Rajeswari M
2
;
Vellaipandi V
3
Author Information
1. Department of Orthopaedics Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
2. Department of Biostatistics, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
3. Department of Orthopaedics, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India
- Publication Type:Journal Article
- Keywords:
ankle, fracture, outcomes, trauma
- From:Malaysian Orthopaedic Journal
2021;15(No.1):85-92
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Unstable ankle injuries require anatomical
reduction and stabilisation for optimal outcome. In spite of
adequate care, a few patients have poor outcome. In this
study, we assessed the risk factors that predict the clinical
outcomes in surgically treated unstable ankle fractures.
Material and methods: This prospective cohort study was
conducted on 68 patients who underwent surgical
management for an unstable ankle injury. Demographic
details, fracture type and associated medical comorbidities
were recorded. Pre-operative radiographic assessment was
done for all patients. At the end of one year follow-up,
clinical (American Orthopaedic foot and ankle societyAOFAS and Olerud-Molander ankle - OMAS) scores and
radiological parameters were assessed and analysed.
Results: Fracture dislocation (0.008), diabetes mellitus
(0.017), level of alchohol consumption (0.008) and preoperative talocrural angle (TCA) > 100° (0.03) were
significant predictors of poor outcomes as per AOFAS.
Fracture dislocation (0.029), diabetes mellitus (0.004), preoperative TCA > 100° (0.009), female gender (0.001), age
more than 60 years (0.002) and open injuries (0.034) had
significantly poor outcome as per OMAS. Other parameters
(smoking, hypertension, classification, syndesmotic injury,
medial clear space and tibiofibular overlap) did not affect the
outcome significantly.
Conclusion: Our study showed that poor outcome
predictors in unstable ankle fractures are age >60 years,
female gender, diabetes mellitus, alcohol consumption,
fracture dislocation, open fractures and pre-op TCA >100°.
- Full text:16.2021my1153.pdf
