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Operative Treatment of Ankle Fractures: Predictive Factors Affecting Outcome

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 treat...

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Autores principales: De las Heras Romero, Jorge, Lledó Alvarez, Ana, Torres Sánchez, Carmen, Luna Maldonado, Aurelio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7574997/
https://www.ncbi.nlm.nih.gov/pubmed/33094040
http://dx.doi.org/10.7759/cureus.11016
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author De las Heras Romero, Jorge
Lledó Alvarez, Ana
Torres Sánchez, Carmen
Luna Maldonado, Aurelio
author_facet De las Heras Romero, Jorge
Lledó Alvarez, Ana
Torres Sánchez, Carmen
Luna Maldonado, Aurelio
author_sort De las Heras Romero, Jorge
collection PubMed
description 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.
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spelling pubmed-75749972020-10-21 Operative Treatment of Ankle Fractures: Predictive Factors Affecting Outcome De las Heras Romero, Jorge Lledó Alvarez, Ana Torres Sánchez, Carmen Luna Maldonado, Aurelio Cureus Orthopedics 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. Cureus 2020-10-18 /pmc/articles/PMC7574997/ /pubmed/33094040 http://dx.doi.org/10.7759/cureus.11016 Text en Copyright © 2020, De las Heras Romero et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Orthopedics
De las Heras Romero, Jorge
Lledó Alvarez, Ana
Torres Sánchez, Carmen
Luna Maldonado, Aurelio
Operative Treatment of Ankle Fractures: Predictive Factors Affecting Outcome
title Operative Treatment of Ankle Fractures: Predictive Factors Affecting Outcome
title_full Operative Treatment of Ankle Fractures: Predictive Factors Affecting Outcome
title_fullStr Operative Treatment of Ankle Fractures: Predictive Factors Affecting Outcome
title_full_unstemmed Operative Treatment of Ankle Fractures: Predictive Factors Affecting Outcome
title_short Operative Treatment of Ankle Fractures: Predictive Factors Affecting Outcome
title_sort operative treatment of ankle fractures: predictive factors affecting outcome
topic Orthopedics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7574997/
https://www.ncbi.nlm.nih.gov/pubmed/33094040
http://dx.doi.org/10.7759/cureus.11016
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