Relationships between radiographic pre- and postoperative alignment and patient perceived outcomes following Weber B and C ankle fractures

Hohmann, Erik, Foottit, Frith and Tetsworth, Kevin (2017) Relationships between radiographic pre- and postoperative alignment and patient perceived outcomes following Weber B and C ankle fractures. Foot and Ankle International, 38 3: 270-276. doi:10.1177/1071100716674703


Author Hohmann, Erik
Foottit, Frith
Tetsworth, Kevin
Title Relationships between radiographic pre- and postoperative alignment and patient perceived outcomes following Weber B and C ankle fractures
Journal name Foot and Ankle International   Check publisher's open access policy
ISSN 1944-7876
1071-1007
Publication date 2017-03-01
Sub-type Article (original research)
DOI 10.1177/1071100716674703
Open Access Status Not yet assessed
Volume 38
Issue 3
Start page 270
End page 276
Total pages 7
Place of publication Thousand Oaks, CA, United States
Publisher Sage Publications
Collection year 2018
Language eng
Formatted abstract
Background: Anatomic reduction of ankle fractures may influence outcomes but the relationships between these 2 variables are still unknown and require further investigation. The purpose of this study was to investigate the relationships between radiologic alignment of surgically treated ankle fractures and functional outcomes.

Methods: This retrospective study included patients who were surgically treated for Weber B and C ankle fractures. The outcome measures consisted of the Olerud and Molander Ankle Score (OMAS) and the foot and ankle disability measure. Standard radiographs included anteroposterior, lateral, and mortise views of the ankle, both on pre- and postoperatively. Between June 2011 and December 2013, a total of 152 patients were treated for ankle fractures and 76 patients with a mean age of 41.3 ± 17.1 years and a mean follow-up of 39.6 ± 8.9 months were included. There were 45 Weber type B fractures (mean age 43.4 ± 17.8, 28 females, 17 males) and 31 Weber type C fractures (mean age 40.7 ± 17.3, 12 females, 19 males).

Results: Linear regression did not reveal any significant relationships with the exception of age. There was a moderate correlation between the OMAS outcome score and age (r2 = 0.46, P =.01).

Conclusion: We found that younger age was a moderate predictor of functional outcome following surgical treatment of ankle fractures. Radiographic alignment using standard non-weight-bearing radiographs and fracture severity did not predict functional outcomes at 24 months postoperatively.

Level of Evidence: Level III, prognostic, retrospective cohort study.
Keyword Ankle fractures
Clinical outcome
Correlations
Radiologic outcome
Weber classification
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Medicine Publications
 
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