踝关节骨折手术的功能预后

Functional outcome of surgery for fractures of the ankle.

作者信息

Winters Keith

机构信息

Department of Surgery, Hutt Hospital, Lower Hutt, New Zealand.

出版信息

N Z Med J. 2009 Feb 13;122(1289):57-62.

PMID:19305450

Abstract

BACKGROUND

Ankle fractures are a common injury treated in New Zealand with variable functional outcomes.

METHODS

Details of all patients undergoing operative fixation of malleolar fractures at Hutt Hospital were obtained from theatre databases for a 12-month period. These patients were then followed up after 1 year for clinical review and asked to complete a questionnaire.

RESULTS

Sixty-two patients enrolled in the study: 27 men and 35 women. Average OMA score 16 months after surgery of 79.4. Weber A fractures averaged ankle function score 90.0, Weber B fractures 80.8, and Weber C fractures 76.3. Two patients (3%) reported 'poor' results, 11 (18%) reported 'fair' results, 29 (47%) gained 'good' results, and 20 (32%) attained 'excellent' results. Functional outcome was worse in the elderly.

CONCLUSION

Patients who sustain ankle fractures have significant functional impairment even after 1 year.

摘要

背景

踝关节骨折是新西兰常见的一种损伤，其功能预后各不相同。

方法

从赫特医院手术室数据库中获取了在12个月期间接受踝关节骨折手术固定的所有患者的详细信息。这些患者在1年后接受随访以进行临床复查，并被要求填写一份问卷。

结果

62名患者参与了该研究，其中男性27名，女性35名。术后16个月的平均OMA评分为79.4。Weber A型骨折的踝关节功能平均评分为90.0，Weber B型骨折为80.8，Weber C型骨折为76.3。2名患者（3%）报告结果为“差”，11名（18%）报告为“一般”，29名（47%）获得“良好”结果，20名（32%）达到“优秀”结果。老年人的功能预后较差。