International Journal of Orthopaedics Research

International Journal of Orthopaedics Research


International Journal of Orthopaedics Research
International Journal of Orthopaedics Research
Vol. 3, Issue 4 (2021)

Functional and radiological outcome following surgical management of trimalleolar ankle fractures


Vikramadityasingh V Samorekar, Roshan S D, Chennakeshava Rao

Introduction: Ankle fractures are extremely common. However, the outcomes of operatively treated trimalleolar ankle fractures remain unclear. We aim to evaluate the functional and radiological outcome of trimalleolar ankle fractures. Method: A retrospective review of 20 patients with operatively treated trimalleolar ankle fractures for a period of 3 years was performed. Demographics, fracture pattern, operative details, postoperative radiographs, CT-scan and complications were extracted and analyzed statistically. Outcome variables were union rates, pain ratings using the visual analogue scale (VAS) and the Olerud and Molander (O&M) score, satisfaction with surgery, and complications. Result: 20 patients with trimalleolar ankle fractures were recruited. At 3 years postoperatively, most patients regained good function and had good to excellent O&M scores. 14 patients completed the functional outcome survey. However, 7 (50.0%) of 14 patients had residual pain. 09 (64.0%) patients complained of stiffness and six (43.0%) patients had ankle swelling. Increasing posterior malleolar fragment size correlates with poorer functional outcome. Conclusion: Poor functional results are seen with increasing posterior fragment size in trimalleolar fractures. Residual clinical and functional deficits should be emphasized to patients prior to surgery. Hence more research is required with the aim of managing this group of patients with an attempt to improve their post-operative function and quality of life. Financial interest: nil Conflict of Interest: nil Declaration: Not presented earlier/Published/or Accepted for publication
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How to cite this article:
Vikramadityasingh V Samorekar, Roshan S D, Chennakeshava Rao. Functional and radiological outcome following surgical management of trimalleolar ankle fractures. International Journal of Orthopaedics Research, Volume 3, Issue 4, 2021, Pages 6-11
International Journal of Orthopaedics Research International Journal of Orthopaedics Research