Saliba Ibrahim, Cannell Stuart, Fontanier Vincent, Dagher Tanios, Vergonjeanne Marion, Bauer Thomas, Anract Philippe, Feruglio Sylvain, Vialle Raphael, Moussellard Hugues Pascal, Hardy Alexandre
Cochin hospital, Paris, France.
Robert Debré hospital, Paris, France.
J Foot Ankle Surg. 2025 Mar-Apr;64(2):197-204. doi: 10.1053/j.jfas.2024.10.003. Epub 2024 Oct 31.
Achieving Return to Sport (RTS) is crucial in managing ankle fractures for athletes. This study aimed to identify RTS factors post-surgical fixation of ankle fractures. A retrospective analysis was conducted on 93 active patients with surgically treated displaced or unstable ankle fractures from January 2020 to January 2021. The median follow-up was 2.12 years. Clinical, functional, and radiographic aspects were evaluated. Among the athletes, 82.8 % resumed sports post-surgery, with 26.9 % returning within 3 months and 75.3 % at 1 year. At 1 year, 40.9 % regained their pre-injury activity level. There was a significant association between RTS and AO/OTA fracture subtype (p = 0.038). Unimalleolar fractures had the best outcomes, with 100 % achieving RTS in a median of 4 months. Bimalleolar fractures had 80.77 % RTS in 6 months, and trimalleolar fractures had 65.22 % RTS in 8 months. AO/OTA subtypes B and C predicted lower RTS to pre-injury levels, with delayed recovery for bimalleolar and trimalleolar fractures. These findings underscore the impact of fracture severity on RTS, with more complex fractures leading to poorer and delayed recovery outcomes.
对于运动员而言，实现重返运动（RTS）在踝关节骨折的治疗中至关重要。本研究旨在确定踝关节骨折手术固定后的RTS因素。对2020年1月至2021年1月期间93例接受手术治疗的移位或不稳定踝关节骨折的活跃患者进行了回顾性分析。中位随访时间为2.12年。对临床、功能和影像学方面进行了评估。在运动员中，82.8%的患者术后恢复了运动，其中26.9%在3个月内恢复运动，75.3%在1年内恢复运动。在1年时，40.9%的患者恢复到了受伤前的活动水平。RTS与AO/OTA骨折亚型之间存在显著关联（p = 0.038）。单踝骨折的预后最佳，100%的患者在中位4个月时实现了RTS。双踝骨折在6个月时的RTS率为80.77%，三踝骨折在8个月时的RTS率为65.22%。AO/OTA B型和C型骨折预示着恢复到受伤前水平的RTS较低，双踝和三踝骨折的恢复延迟。这些发现强调了骨折严重程度对RTS的影响，更复杂的骨折会导致更差和延迟的恢复结果。
