Conservative functional treatment of ankle fractures

Archives of Orthopaedic and Trauma Surgery
A DietrichC Josten

Abstract

Thirty-eight patients (mean age 49 years; range 19-91 years; nine of them over 60 years; 28 women, 10 men) suffering from an isolated Weber B fracture with a dislocation of less than 1 mm underwent functional therapy using a pneumatic ankle brace and were included in a prospective study. The clinical outcome was measured according to the Olerud-Molander ankle score. Functional therapy was finished in 34 cases successfully. Twenty-one patients were scored after 17 months on average (range 8-27 months) with the Olerud-Molander ankle score. A very good result was seen in 18 patients, including 12 with 100 points, a complete remission. The remaining 3 patients showed good results (1 had 90, 2 had 85). However, functional treatment failed in 4 cases due to secondary dislocation. These patients underwent surgery without further complications. The control group, 31 operated patients, did not show as good results. Functional therapy of stable Weber-B ankle fractures appears to be superior to surgery. We were able to avoid surgery in 90% of our patients and got better results than with patients undergoing open reduction and internal fixation.

Citations

Jan 9, 2007·International Orthopaedics·Jochen FrankeAndreas Wentzensen
Feb 8, 2006·Journal of Orthopaedic Trauma·Christian J P SimanskiBertil Bouillon
Dec 27, 2011·Journal of Orthopaedic Trauma·Christian C M A DonkenCees J H M van Laarhoven
Oct 1, 2011·Archives of Orthopaedic and Trauma Surgery·E M Van Schie-Van der WeertT Schepers
Jul 14, 2012·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Jens A Halm, Tim Schepers
Nov 25, 2014·The Physician and Sportsmedicine·Mark C Drakos, Conor I Murphy
Aug 17, 2012·The Cochrane Database of Systematic Reviews·Christian C M A DonkenCornelis J H M van Laarhoven
May 30, 2013·British Journal of Hospital Medicine·Alexander ShearmanDavid Houlihan-Burne
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Sep 4, 2008·Annals of the Royal College of Surgeons of England·Nitin JainMatt Dawson
Oct 4, 2013·The Journal of Bone and Joint Surgery. American Volume·Marschall B BerkesDean G Lorich
Aug 1, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·C A T van LeeuwenJ M Hoogendoorn

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