Choon Chiet Hong1, Nazrul Nashi2, Shuvendu Prosad Roy1, Ken Jin Tan3. 1. University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Hospital, Singapore. 2. Yong Loo Lin School of Medicine, National University of Singapore, Singapore. 3. University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Hospital, Singapore. Electronic address: tankenjin@gmail.com.
Abstract
BACKGROUND: We aim to evaluate the clinical and functional outcome of trimalleolar fractures and the ability of patients to return to sporting activities. METHODS: A retrospective review of 31 patients with operatively managed trimalleolar fractures was conducted. Their Olerud and Molander scores and ability to return to sports was analyzed at 1 year postoperatively. RESULTS: Dislocations were more likely to result from trimalleolar fractures (p<0.001). 11 (52.4%) of our patients had residual pain at 1 year. 13 (61.9%) and 10 (47.6%) had persistent ankle stiffness and swelling. Out of 12 patients who were involved in sports pre-operatively, only 4 (33.3%) patients were able to return to sports. 3 (25%) patients were unable to do sports at all. Increasing posterior malleolar fragment size correlates with poorer functional outcome. CONCLUSIONS: Patients have poorer functional outcome with increasing posterior malleolar fragment size in trimalleolar fractures. Residual deficits affect the majority of our patients and a notable proportion was unable to return to sporting activities.
BACKGROUND: We aim to evaluate the clinical and functional outcome of trimalleolar fractures and the ability of patients to return to sporting activities. METHODS: A retrospective review of 31 patients with operatively managed trimalleolar fractures was conducted. Their Olerud and Molander scores and ability to return to sports was analyzed at 1 year postoperatively. RESULTS: Dislocations were more likely to result from trimalleolar fractures (p<0.001). 11 (52.4%) of our patients had residual pain at 1 year. 13 (61.9%) and 10 (47.6%) had persistent ankle stiffness and swelling. Out of 12 patients who were involved in sports pre-operatively, only 4 (33.3%) patients were able to return to sports. 3 (25%) patients were unable to do sports at all. Increasing posterior malleolar fragment size correlates with poorer functional outcome. CONCLUSIONS:Patients have poorer functional outcome with increasing posterior malleolar fragment size in trimalleolar fractures. Residual deficits affect the majority of our patients and a notable proportion was unable to return to sporting activities.
Authors: Francesco Pogliacomi; Massimo De Filippo; Daniele Casalini; Alberto Longhi; Fabrizio Tacci; Rocco Perotta; Francesco Pagnini; Silvio Tocco; Francesco Ceccarelli Journal: World J Orthop Date: 2021-05-18
Authors: Mareen Braunstein; Sebastian F Baumbach; Markus Regauer; Wolfgang Böcker; Hans Polzer Journal: BMC Musculoskelet Disord Date: 2016-05-12 Impact factor: 2.362