Long-term outcome after supination-external rotation type-4 fractures of the ankle

The Journal of Bone and Joint Surgery. British Volume
S A S StufkensB Hintermann

Abstract

We have compared the results at a mean follow-up of 13 years (11 to 14) of two groups of supination-external rotation type-4 fractures of the ankle, in one of which there was a fracture of the medial malleolus and in the other the medial deltoid ligament had been partially or completely ruptured. Of 66 patients treated operatively between 1993 and 1997, 36 were available for follow-up. Arthroscopy had been performed in all patients pre-operatively to assess the extent of the intra-articular lesions. The American Orthopaedic Foot and Ankle Society hind-foot score was used for clinical evaluation and showed a significant difference in both the total and the functional scores (p < 0.05), but not in those for pain or alignment, in favour of the group with a damaged deltoid ligament (p < 0.05). The only significant difference between the groups on the short-form 36 quality-of-life score was for bodily pain, again in favour of the group with a damaged deltoid ligament. There was no significant difference between the groups in the subjective visual analogue scores or in the modified Kannus radiological score. Arthroscopically, there was a significant difference with an increased risk of loose bodies in the group with an intact deltoid...Continue Reading

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Citations

Jun 15, 2014·Archives of Orthopaedic and Trauma Surgery·Eric F Swart, J Turner Vosseller
Nov 1, 2011·Skeletal Radiology·Pantelis KraniotisApostolos H Karantanas
Jul 5, 2015·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·P LötscherM Knupp
Jan 27, 2015·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Guang-rong YuYun-feng Yang
Jan 21, 2017·Foot & Ankle International·Daniel M DeanAnish R Kadakia
Dec 27, 2011·Journal of Orthopaedic Trauma·Christian C M A DonkenCees J H M van Laarhoven
Oct 5, 2011·The Journal of Bone and Joint Surgery. British Volume·B HintermannM Knupp
Sep 15, 2020·Journal of Orthopaedic Trauma·Sini KarkkolaHannu-Ville Leskelä

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