FIVE-YEAR OUTCOMES AFTER ANKLE FRACTURE FIXATION IN A UK TEACHING HOSPITAL

• DOI: 10.1302/1358-992x.2024.9.005
• Publication Date: 2024-05-16T15:51:35Z
• Authors: H.H. Chong; N. Banda; M. Hau; P. Rai; J. Mangwani

Introduction Ankle fractures represent approximately 10% of the fracture workload and are projected to increase due ageing population. We present our 5 years outcome review post-surgical management ankle in a large UK Trauma unit. Methods A total 111 consecutive patients treated for an unstable were entered into database prospectively followed up. Baseline patient characteristics, complications, further intervention including additional surgery, functional status recorded during five-year follow-up. Pre-injury post-fixation measures at 2-years assessed using Olerud-Molander Scores (OMAS) Lower Extremity Functional Scales (LEFS). p value < 0.05 was considered significant. Results The mean age 46 with male:female ratio 1:1.1. distribution comorbidities BMI >30 (25%), diabetes (5%), alcohol consumption >20U/week (15%) smoking (26%). Higher predictive worse post-op LEFS score (p = 0.02). Between pre-injury post fixation scores 2 years, there reduction 26.8 20.5(LEFS). Using very strict radiological criteria, 31 (28%) had less than anatomical fragments intra-operatively. This was, however, not patients' this cohort. Within 5-year period, 22 (20%) removal metalwork from their ankle, majority 13 (59%) requiring syndesmotic screw removal. Further interventions included: joint injection (3), deltoid reconstruction (1), arthroscopic debridement superficial sinus excision (2), conversion hindfoot nail failure (1). Reduction OMAS ongoing symptoms (p=0.01). Conclusion There is significant after should be counselled appropriately. Need higher who require syndesmosis stabilisation screw(s).