Functional outcome 3-6 years after operative treatment of closed Weber B ankle fractures with or without syndesmotic fixation.
Adolescent
Adult
Aged
Aged, 80 and over
Ankle Fractures
/ diagnosis
Ankle Joint
/ diagnostic imaging
Cross-Sectional Studies
Female
Follow-Up Studies
Fracture Fixation, Internal
/ methods
Humans
Male
Middle Aged
Radiography
Range of Motion, Articular
/ physiology
Retrospective Studies
Surveys and Questionnaires
Time Factors
Treatment Outcome
Young Adult
Closed ankle fracture
Functional outcome
Internal fixation
Open reduction
Questionnaire
Syndesmotic fixation
Journal
Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
ISSN: 1460-9584
Titre abrégé: Foot Ankle Surg
Pays: France
ID NLM: 9609647
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
received:
11
02
2019
revised:
18
04
2019
accepted:
25
04
2019
pubmed:
28
5
2019
medline:
18
11
2020
entrez:
28
5
2019
Statut:
ppublish
Résumé
To compare the long-term functional outcomes of patients surgically treated for Weber B ankle fractures with or without syndesmotic fixation. In total, 959 adult patients with previous treatment with open reduction and internal fixation (ORIF) for closed ankle fractures were eligible for inclusion in a cross-sectional postal survey 3-6 years after surgery; 645 had Weber B fractures. The survey assessed functional outcomes with three validated ankle questionnaires. In total 365 (57%) patients responded at a median of 4.2 years after the trauma. After adjusting for age, sex, education, smoking status, body mass index, diabetes, physical status before surgery, fracture classification, and duration of surgery, patients with a syndesmotic fixation had no different OMAS score (p = 0.98), LEFS score (p = 0.61), and SEFAS score (p = 0.98) than those without a syndesmotic fixation. Trimalleolar fracture was associated with worse functional outcomes than unimalleolar on two of the scales, the OMAS (p = 0.028) and LEFS (p = 0.046). In multivariable analysis, patients with a syndesmotic fixation had no worse long-term functional outcomes than those without syndesmotic fixation.
Sections du résumé
BACKGROUND
BACKGROUND
To compare the long-term functional outcomes of patients surgically treated for Weber B ankle fractures with or without syndesmotic fixation.
METHODS
METHODS
In total, 959 adult patients with previous treatment with open reduction and internal fixation (ORIF) for closed ankle fractures were eligible for inclusion in a cross-sectional postal survey 3-6 years after surgery; 645 had Weber B fractures. The survey assessed functional outcomes with three validated ankle questionnaires.
RESULTS
RESULTS
In total 365 (57%) patients responded at a median of 4.2 years after the trauma. After adjusting for age, sex, education, smoking status, body mass index, diabetes, physical status before surgery, fracture classification, and duration of surgery, patients with a syndesmotic fixation had no different OMAS score (p = 0.98), LEFS score (p = 0.61), and SEFAS score (p = 0.98) than those without a syndesmotic fixation. Trimalleolar fracture was associated with worse functional outcomes than unimalleolar on two of the scales, the OMAS (p = 0.028) and LEFS (p = 0.046).
CONCLUSIONS
CONCLUSIONS
In multivariable analysis, patients with a syndesmotic fixation had no worse long-term functional outcomes than those without syndesmotic fixation.
Identifiants
pubmed: 31130509
pii: S1268-7731(19)30063-3
doi: 10.1016/j.fas.2019.04.013
pii:
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
378-383Informations de copyright
Copyright © 2019. Published by Elsevier Ltd.