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The online version of this article (doi:10.1186/s13047-014-0050-9) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interests.
GS - Conception and design, analysis of data, drafting the article, final approval. AE - Conception and design, revising the article, final approval. AP - Conception and design, analysis of data, revising the article, final approval. ZH - Analysis of data, revising the article, final approval. EP - Analysis of data, revising the article, final approval. MN - Conception and design, revising the article, final approval. ZF - Conception and design, revising the article, final approval. BK - Conception and design, revising the article, final approval. All authors read and approved the final manuscript.
The purpose of the current study was to examine objective and subjective differences between three severity groups of ankle fractures patients compared to healthy controls.
This was a case-controlled study. 92 patients with an ankle fracture injury of which 41 patients were eligible to participate in the study. 72 healthy people served as controls. All patients underwent a computerized gait test, completed self-assessment questionnaires (The Foot and Ankle Outcome Score (FAOS) and the SF-36), evaluated with the American Foot and Ankle Score (AOFAS) form and completed the 6-min walk test. The control group performed a computerized gait test and completed the SF-36 health survey.
All ankle fracture patients presented compromised gait patterns and limb symmetry compared to controls (p < 0.05). Ankle fracture patients also had lower SF-36 scores compared to controls (p < 0.05). Significant differences were found between the unimalleolar group compared to the bimalleolar and trimalleolar groups in most parameters, except for the FAOS scores. There were no significant differences between the bimalleolar fracture group and the trimalleolar fracture groups.
Although all fracture severity classification groups presented a compromised gait pattern and worse clinical symptoms compared to controls, it seems that patients with a unimalleolar fracture is a different group compared to bimalleolar and trimalleolar fracture. Furthermore, it seems that bimalleolar fracture and trimalleolar fracture affect the gait pattern and clinical symptoms to an equal extent, at least in the short-term.
Authors’ original file for figure 113047_2014_50_MOESM1_ESM.gif
Tile M: Fractures of the Ankle. The Rationale of Operative Fracture Care. Edited by: Schatzker J, Tile M. 1996, Springer, Berlin, 523-561. 10.1007/978-3-642-88443-6_22. 2 CrossRef
Shaffer MA, Okereke E, Esterhai JL, Elliott MA, Walker GA, Yim SH, Vandenborne K: Effects of immobilization on plantar-flexion torque, fatigue resistance, and functional ability following an ankle fracture. Phys Ther. 2000, 80 (8): 769-780. PubMed
Vandenborne K, Elliott MA, Walter GA, Abdus S, Okereke E, Shaffer M, Tahernia D, Esterhai JL: Longitudinal study of skeletal muscle adaptations during immobilization and rehabilitation. Muscle Nerve. 1998, 21 (8): 1006-1012. 10.1002/(SICI)1097-4598(199808)21:8<1006::AID-MUS4>3.0.CO;2-C. CrossRefPubMed
Lindsjö U: Operative treatment of ankle fracture-dislocations. A follow-up study of 306/321 consecutive cases. Clin Orthop Relat Res. 1985, 199: 28-38. PubMed
Becker HP, Rosenbaum D, Kriese T, Gerngross H, Claes L: Gait asymmetry following successful surgical treatment of ankle fractures in young adults. Clin Orthop Relat Res. 1995, 311: 262-269. PubMed
Foley N, Murie-Fernandez M, Speechley M, Salter K, Sequeira K, Teasell R: Does the treatment of spastic equinovarus deformity following stroke with botulinum toxin increase gait velocity? A systematic review and meta-analysis. Eur J Neurol. 2010, 17 (12): 1419-1427. 10.1111/j.1468-1331.2010.03084.x. CrossRefPubMed
Roos EM, Brandsson S, Karlsson J: Validation of the foot and ankle outcome score for ankle ligament reconstruction. Foot Ankle Int. 2001, 22 (10): 788-794. PubMed
Posner S, Nasell H, Bergman B, Tornkvist H: Functional outcome and quality of life in patients with type B ankle fractures: a two-year follow-up study. J Orthop Rauma. 1999, 13 (5): 363-368. 10.1097/00005131-199906000-00007. CrossRef
Nilsson MG, Jonsson K, Ekdahl SC, Eneroth M: Unsatisfactory outcome following surgical intervention of ankle fractures. Foot Ankle Surg. 2005, 11: 11-16. 10.1016/j.fas.2004.10.004. CrossRef
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