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01-12-2014 | Research | Uitgave 1/2014 Open Access

Journal of Foot and Ankle Research 1/2014

Clinical outcomes following ankle fracture: a cross-sectional observational study

Tijdschrift:
Journal of Foot and Ankle Research > Uitgave 1/2014
Auteurs:
Ganit Segal, Avi Elbaz, Alon Parsi, Ziv Heller, Ezequiel Palmanovich, Meir Nyska, Zeev Feldbrin, Benjamin Kish
Belangrijke opmerkingen

Electronic supplementary material

The online version of this article (doi:10.​1186/​s13047-014-0050-9) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

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.

Abstract

Background

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.

Methods

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.

Results

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.

Conclusions

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.

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Extra materiaal
Authors’ original file for figure 1
13047_2014_50_MOESM1_ESM.gif
Literatuur
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