Department of Orthopedics and Traumatology, Addis Ababa Burn, Emergency and Trauma (AaBET) Hospital, St. Paul Millennium Medical College, Addis Ababa, Ethiopia.
Department of Anaesthesia, College of Medicine and Health Science, Debre Markos University, Debre Markos, Ethiopia.
Eur J Orthop Surg Traumatol. 2023 Apr;33(3):661-667. doi: 10.1007/s00590-022-03283-2. Epub 2022 Jun 6.
Ankle fracture is a common injury that is treated at Addis Ababa Burn, Emergency, and Trauma Hospital. Previous studies show that there are mixed functional outcomes after surgically treated ankle fractures.
After Ethical clearance was obtained from the ethical review committee of St. Paul Millennium Medical College, a retrospective cross-sectional study was conducted on 122 patients from September to October 2021. Patients fulfilling the inclusion criteria were called through phone and verbal consent was obtained, and the patients' responses were recorded with Olerud and Molander ankle outcome score (OMAS). For those study subjects who were unanswered to phone calls or non-functioning cell phones were repeated at least two times per week during the data collection period. The collected data were coded, entered, checked for its completeness, cleaned, and analyzed using SPSS Version 22. Descriptive statistics were presented with frequency, percentage, text, and graphs. Finally, the strength of association between functional outcome of ankle fracture and independent variables were evaluated using the Chi-square test, and a P-value < 0.05 was declared to be statistically significant.
Out of the total 122 patients, 72.1% of study subjects were males, and the mean OMAS for males and females was 76.79, and 75.65, respectively. Among all ankle fractures, nearly two-thirds (63.1%) of them were closed fractures, which are initially stabilized with splinting, open reduction, and internal fixation (ORIF), and external fixation were 77%, 13.9%, and 9%, respectively, whereas 83.3% definitive management of operatively treated ankle fracture was open reduction and internal fixation. In this study, the score of Olerud and Molander was 82.9% patients 'good' or 'excellent,' whereas 10.5% and 4.5% were fair and poor, respectively. In the present study patients with 40 years and younger (p-value, 0.022) and early surgical treatment (p-value 0.02) were strongly associated with the positive functional outcome of ankle surgery.
Even though the surgical treatment of ankle fracture results in good postoperative functional outcomes, restores ankle function, and allows good mobility of the ankle joint, still some patients experience few restrictions in functional activities of 2-5-year post-surgical treatment.
踝关节骨折是一种常见的损伤，在亚的斯亚贝巴烧伤、急诊和创伤医院进行治疗。先前的研究表明，经过手术治疗的踝关节骨折的功能结果存在混合情况。
在获得圣保罗千禧医学学院伦理审查委员会的伦理批准后，我们于 2021 年 9 月至 10 月对 122 名患者进行了回顾性横断面研究。通过电话联系符合纳入标准的患者，并获得口头同意，然后使用 Olerud 和 Molander 踝关节结局评分（OMAS）记录患者的反应。对于那些未接听电话或手机无法正常使用的研究对象，在数据收集期间每周至少重复两次。收集的数据进行编码、录入、检查完整性、清理，并使用 SPSS 版本 22 进行分析。使用频率、百分比、文本和图表呈现描述性统计数据。最后，使用卡方检验评估踝关节骨折功能结局与自变量之间的关联强度，P 值<0.05 被认为具有统计学意义。
在总共 122 名患者中，72.1%的研究对象为男性，男性和女性的平均 OMAS 分别为 76.79 和 75.65。在所有踝关节骨折中，近三分之二（63.1%）为闭合性骨折，最初采用夹板固定、切开复位和内固定（ORIF）进行初始稳定，分别为 77%、13.9%和 9%，而 83.3%的手术治疗踝关节骨折采用切开复位和内固定进行确定性治疗。在这项研究中，Olerud 和 Molander 的评分结果显示 82.9%的患者为“良好”或“优秀”，10.5%和 4.5%分别为“一般”和“差”。本研究中，40 岁及以下的患者（P 值，0.022）和早期手术治疗（P 值，0.02）与踝关节手术后功能结局呈正相关。
即使踝关节骨折的手术治疗可获得良好的术后功能结局，恢复踝关节功能，并允许踝关节良好活动度，但仍有部分患者在术后 2-5 年内的功能活动中存在一些受限。
