[Differentiated protocol for the conservative/surgical treatment of ankle fractures in adults].

OBJECTIVE

Evaluation of the long-term results of protocol treatment of adult patients with ankle fractures.

SETTING

St Elisabeth Hospital, Tilburg, the Netherlands.

DESIGN

Retrospective long-term follow-up study.

METHOD

All patients (n = 579) with an ankle fracture (580 fractures) in the period 1985-1989, who had not died soon after the injury and in whom the morbidity was not caused mainly by other conditions (n = 30) were treated according to a protocol which specified the indications for conservative or surgical therapy depending on the particular fracture type. After a median follow-up period of 5 years (range: 2.25-8.17 years) the treatment results could be evaluated in 92% of the patients.

RESULTS

Clinically "good' or "excellent' results ranging from 79-90.5% types A, B and C fractures (according to the Swiss Arbeitsgemeinschaft für Osteosynthesefragen) were achieved.

CONCLUSIONS

A broad indication for conservative, even functional (tape bandaging) treatment and restricted use of implants during osteosynthesis appear justified considering the results obtained.