Determinants of outcome in operatively and non-operatively treated Weber-B ankle fractures

EM van Schie - van de Weert, Esther M.M. Van Lieshout, MR de Vries, M van der Elst, Tim Schepers

Research output: Contribution to journalArticleAcademicpeer-review

35 Citations (Scopus)
14 Downloads (Pure)

Abstract

Introduction Treatment of ankle fractures is often based on fracture type and surgeon's individual judgment. Literature concerning the treatment options and outcome are dated and frequently contradicting. The aim of this study was to determine the clinical and functional outcome after AO-Weber B-type ankle fractures in operatively and conservatively treated patients and to determine which factors influenced outcome. Patients and methods A retrospective cohort study in patients with a AO-Weber B-type ankle fracture. Patient, fracture and treatment characteristics were recorded. Clinical and functional outcome was measured using the Olerud-Molander Ankle Score (OMAS), the American Orthopaedic Foot and Ankle Society ankle-hindfoot score (AOFAS) and a Visual Analog Score (VAS) for overall satisfaction (range 0-10). Results Eighty-two patients were treated conservatively and 103 underwent operative treatment. The majority was female. Most conservatively treated fractures were AO-Weber B1.1 type fractures. Fractures with fibular displacement (mainly AO type B1.2 and Lauge-Hansen type SER-4) were predominantly treated operatively. The outcome scores in the non-operative group were OMAS 93, AOFAS 98, and VAS 8. Outcome in this group was independently negatively affected by age, affected side, BMI, fibular disp Conclusion Treatment selection based upon stability and surgeon's judgment led to overall good clinical outcome in both treatment groups. Reducing the cast immobilization period may further improve outcome.
Original languageUndefined/Unknown
Pages (from-to)257-263
Number of pages7
JournalArchives of Orthopaedic and Trauma Surgery
Volume132
Issue number2
DOIs
Publication statusPublished - 2012

Research programs

  • EMC MUSC-01-47-01

Cite this