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Quality of life and complications in elderly patients after pronation rotation type III ankle fractures treated with a cast and early weight-bearing
BACKGROUND: Early weight-bearing is becoming increasingly common because it can positively affect the quality of life of patients. Therefore, the efficacy and safety of this conservative treatment should be assessed for different types of ankle fractures. The goal of this study was to compare early...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8518213/ https://www.ncbi.nlm.nih.gov/pubmed/34649545 http://dx.doi.org/10.1186/s12891-021-04745-0 |
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author | Lorente, Alejandro Gandía, Antonio Mariscal, Gonzalo Palacios, Pablo Lorente, Rafael |
author_facet | Lorente, Alejandro Gandía, Antonio Mariscal, Gonzalo Palacios, Pablo Lorente, Rafael |
author_sort | Lorente, Alejandro |
collection | PubMed |
description | BACKGROUND: Early weight-bearing is becoming increasingly common because it can positively affect the quality of life of patients. Therefore, the efficacy and safety of this conservative treatment should be assessed for different types of ankle fractures. The goal of this study was to compare early weight-bearing and non-weight-bearing in terms of effectiveness and safety in patients with pronation rotation type III ankle fractures treated nonsurgically. METHODS: A prospective multicenter cohort study was conducted over two years. Elderly patients with a nondisplaced pronation rotation type III ankle fracture were included. The main variables were the Barthel Index and SF-12 scores. The patients completed the questionnaires at six weeks, one year and two years. We also compared the complications associated with the two interventions. RESULTS: 30 patients were included in the weight-bearing group, while 32 patients were included in the non-weight-bearing (WB) group. The mean ages were 82.6 ± 2.6 years and 83.1 ± 2.6 years, respectively. Quality of life, measured with the SF-12 scale, increased significantly in both the short and long term in the WB group (53.5 ± 5.8 points vs 65.2 ± 4.4 points at 6 weeks and 70.1 ± 4.2 points vs. 80.9 ± 3.7 points at 2 years; p<0.001). The WB group also showed a higher quality of life, as measured by the Barthel Index (54.5 ± 5.2 points vs. 64.3 ± 4.0 points at 6 weeks and 71.0 ± 4.3 points vs. 80.7 ± 3.4 points at 2 years; p<0.001). CONCLUSIONS: Elderly patients with pronation rotation type III fractures could benefit from an early weight-bearing protocol in terms of quality of life and functionality. |
format | Online Article Text |
id | pubmed-8518213 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-85182132021-10-20 Quality of life and complications in elderly patients after pronation rotation type III ankle fractures treated with a cast and early weight-bearing Lorente, Alejandro Gandía, Antonio Mariscal, Gonzalo Palacios, Pablo Lorente, Rafael BMC Musculoskelet Disord Research Article BACKGROUND: Early weight-bearing is becoming increasingly common because it can positively affect the quality of life of patients. Therefore, the efficacy and safety of this conservative treatment should be assessed for different types of ankle fractures. The goal of this study was to compare early weight-bearing and non-weight-bearing in terms of effectiveness and safety in patients with pronation rotation type III ankle fractures treated nonsurgically. METHODS: A prospective multicenter cohort study was conducted over two years. Elderly patients with a nondisplaced pronation rotation type III ankle fracture were included. The main variables were the Barthel Index and SF-12 scores. The patients completed the questionnaires at six weeks, one year and two years. We also compared the complications associated with the two interventions. RESULTS: 30 patients were included in the weight-bearing group, while 32 patients were included in the non-weight-bearing (WB) group. The mean ages were 82.6 ± 2.6 years and 83.1 ± 2.6 years, respectively. Quality of life, measured with the SF-12 scale, increased significantly in both the short and long term in the WB group (53.5 ± 5.8 points vs 65.2 ± 4.4 points at 6 weeks and 70.1 ± 4.2 points vs. 80.9 ± 3.7 points at 2 years; p<0.001). The WB group also showed a higher quality of life, as measured by the Barthel Index (54.5 ± 5.2 points vs. 64.3 ± 4.0 points at 6 weeks and 71.0 ± 4.3 points vs. 80.7 ± 3.4 points at 2 years; p<0.001). CONCLUSIONS: Elderly patients with pronation rotation type III fractures could benefit from an early weight-bearing protocol in terms of quality of life and functionality. BioMed Central 2021-10-14 /pmc/articles/PMC8518213/ /pubmed/34649545 http://dx.doi.org/10.1186/s12891-021-04745-0 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Lorente, Alejandro Gandía, Antonio Mariscal, Gonzalo Palacios, Pablo Lorente, Rafael Quality of life and complications in elderly patients after pronation rotation type III ankle fractures treated with a cast and early weight-bearing |
title | Quality of life and complications in elderly patients after pronation rotation type III ankle fractures treated with a cast and early weight-bearing |
title_full | Quality of life and complications in elderly patients after pronation rotation type III ankle fractures treated with a cast and early weight-bearing |
title_fullStr | Quality of life and complications in elderly patients after pronation rotation type III ankle fractures treated with a cast and early weight-bearing |
title_full_unstemmed | Quality of life and complications in elderly patients after pronation rotation type III ankle fractures treated with a cast and early weight-bearing |
title_short | Quality of life and complications in elderly patients after pronation rotation type III ankle fractures treated with a cast and early weight-bearing |
title_sort | quality of life and complications in elderly patients after pronation rotation type iii ankle fractures treated with a cast and early weight-bearing |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8518213/ https://www.ncbi.nlm.nih.gov/pubmed/34649545 http://dx.doi.org/10.1186/s12891-021-04745-0 |
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