Teimouri Mehdi, Ravanbod Hadi, Salehi Ashkan, Shahsavan Mohammad, Yusofvand Reza, Sharifzadeh Seyyed Reza, Hassanzadeh Akbar, Ranjbar Hossein
Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Exceptional Talents, School of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.
Adv Biomed Res. 2025 Aug 26;14:85. doi: 10.4103/abr.abr_415_24. eCollection 2025.
Bimalleolar ankle fractures, particularly those resulting from supination-external rotation (SER) mechanisms, are common injuries. This study evaluates the short-term clinical outcomes and quality of life following surgical treatment of these fractures.
MATЕRIALS AND METHODS: This prospective cohort study was conducted at two trauma centers in Isfahan, Iran. A total of 34 adults, with SER-type bimalleolar ankle fractures, underwent open reduction and internal fixation. Additionally, a matched control group comprising 34 healthy individuals was included in the study. Functional outcomes were evaluated using the Foot and Ankle Outcome Score (FAOS) and the Short Form-36 (SF-36) in the control group, as well as at three and six months post-surgery for the patient group.
The study included 24 males (70.6%) and 10 females (29.4%) in the case group, with a mean age of 32.8 years (SD ± 9.7) and a mean BMI of 26.01 kg/m² (SD ± 1.91). Significant improvements were observed in the patient group from three to six months post-surgery across multiple FAOS and SF-36 domains. FAOS pain scores increased from 67.8 ± 7.5 to 83.9 ± 8.3 ( < 0.001), and activities of daily living improved from 75.3 ± 8.0 to 88.7 ± 8.5 ( < 0.001), approaching control levels. SF-36 physical functioning scores rose from 63.5 ± 8.2 to 81.3 ± 7.9 ( < 0.001). However, domains, like symptoms, sports/recreation, social functioning, and role-emotional, remained lower than controls at six months ( > 0.05).
Surgical treatment of bimalleolar ankle fractures leads to significant short-term functional improvements, with a low complication rate. While promising, continued rehabilitation beyond six months may be necessary for complete functional restoration.
双踝骨折，尤其是由旋后-外旋（SER）机制导致的骨折，是常见的损伤。本研究评估了这些骨折手术治疗后的短期临床疗效和生活质量。
这项前瞻性队列研究在伊朗伊斯法罕的两个创伤中心进行。共有34例患有SER型双踝骨折的成年人接受了切开复位内固定术。此外，一个由34名健康个体组成的匹配对照组也纳入了研究。对照组使用足踝结果评分（FAOS）和简短健康调查问卷（SF-36）评估功能结局，患者组在术后3个月和6个月时也进行评估。
病例组包括24名男性（70.6%）和10名女性（29.4%），平均年龄为32.8岁（标准差±9.7），平均体重指数为26.01kg/m²（标准差±1.91）。患者组在术后3个月至6个月期间，多个FAOS和SF-36领域均有显著改善。FAOS疼痛评分从67.8±7.5提高到83.9±8.3（P<0.001），日常生活活动能力从75.3±8.0提高到88.7±8.5（P<0.001），接近对照组水平。SF-36身体功能评分从63.5±8.2提高到81.3±7.9（P<0.001）。然而，在6个月时，症状、运动/娱乐、社会功能和角色情感等领域仍低于对照组（P>0.05）。
双踝骨折的手术治疗可导致短期功能显著改善，并发症发生率低。虽然前景良好，但可能需要在6个月后继续进行康复治疗以实现完全功能恢复。
