Publication: Functional Outcomes After Fracture-Dislocation of the Ankles
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Issued Date
2019-01-01
Resource Type
ISSN
19387636
19386400
19386400
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2-s2.0-85061206279
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Mahidol University
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SCOPUS
Bibliographic Citation
Foot and Ankle Specialist. (2019)
Suggested Citation
Direk Tantigate, Gavin Ho, Joshua Kirschenbaum, Henrik C. Bäcker, Benjamin Asherman, Christina Freibott, Justin K. Greisberg, J. Turner Vosseller Functional Outcomes After Fracture-Dislocation of the Ankles. Foot and Ankle Specialist. (2019). doi:10.1177/1938640019826701 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/50969
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Title
Functional Outcomes After Fracture-Dislocation of the Ankles
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Abstract
© 2019 The Author(s). Background. Fracture dislocation of the ankle represents a substantial injury to the bony and soft tissue structures of the ankle. There has been only limited reporting of functional outcome of ankle fracture-dislocations. This study aimed to compare functional outcome after open reduction internal fixation in ankle fractures with and without dislocation. Methods. A retrospective chart review of surgically treated ankle fractures over a 3- year period was performed. Demographic data, type of fracture, operative time and complications were recorded. Of 118 patients eligible for analysis, 33 (28%) sustained a fracture-dislocation. Mean patient age was 46.6 years; 62 patients, who had follow-up of at least 12 months, were analyzed for functional outcome assessed by the Foot and Ankle Outcome Score (FAOS). The median follow-up time was 37 months. Demographic variables and FAOS were compared between ankle fractures with and without dislocation. Results. The average age of patients sustaining fracture-dislocation was greater (53 vs 44 years, P =.017); a greater percentage were female (72.7% vs 51.8%, P =.039) and diabetic (24.2% vs 7.1%, P =.010). Wound complications were similar between both groups. FAOS was generally poorer in the fracture-dislocation group, although only the pain subscale demonstrated statistical significance (76 vs 92, P =.012). Conclusion. Ankle fracture-dislocation occurred more frequently in patients who were older, female, and diabetic. At a median of just > 3-year follow-up, functional outcomes in fracture-dislocations were generally poorer; the pain subscale of FAOS was worse in a statistically significant fashion. Levels of Evidence: Therapeutic, Level III.