Determinants of functional outcome following ankle fracture.
OTA Int
; 4(3): e139, 2021 Sep.
Article
em En
| MEDLINE
| ID: mdl-34746671
ABSTRACT
OBJECTIVES:
To assess the patient and injury characteristics that impact functional outcomes after ankle fracture.DESIGN:
Retrospective study.SETTING:
Urban level I trauma center. PATIENTS/PARTICIPANTS:
One thousand patients underwent fixation of ankle fracture (AO/OTA 44) between 2006 and 2015. Four hundred sixteen completed functional outcome surveys by telephone or mail at a mean of 5.9âyears after injury. INTERVENTION Open reduction internal fixation. MAIN OUTCOMEMEASURE:
Foot Function Index (FFI) and Short Musculoskeletal Function Assessment (SMFA).RESULTS:
Mean age was 46.7âyears, with 46.2% male. Higher (worse) FFI scores were seen in tobacco users (38.9 vs 30.1), recreational drug users (45.9 vs 32.7), and the morbidly obese (52.0 vs 30.6), all Pâ<â.005. Higher (worse) SMFA dysfunction and bothersome scores were also seen in these groups, and in females and alcohol users. Multiple regression analysis identified female gender, obesity, tobacco and alcohol use, complications, secondary procedures, and multiple additional injuries as independent predictors of higher scores (all Pâ<â.04). Fracture patterns, open fracture, and development of arthritis had no impact on FFI or SMFA scores.CONCLUSION:
Patient characteristics, not under surgeon-control, such as female sex, obesity, and substance use, appear to contribute to patient-reported functional outcome scores more than injury characteristics. LEVEL OF EVIDENCE Level 3, prognostic.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Idioma:
En
Revista:
OTA Int
Ano de publicação:
2021
Tipo de documento:
Article