J Korean Fract Soc.  2002 Apr;15(2):209-215. 10.12671/jksf.2002.15.2.209.

Radiologic and clinical evaluation about treatment of ankle fracture

• Choi CH
• Kwon KW
• Kim SK
• Lee SW
• Shin DK
• Um DH

• KMID: 1999401
• DOI: http://doi.org/10.12671/jksf.2002.15.2.209

Abstract

PURPOSE: The purpose of this article is to evaluate the factors affecting clinical result after surgical treatment of ankle fracture. We evaluate the radiologic features of initial, post-operative and last follow up ankle anteroposterior view.
MATERIALS AND METHODS
From Feb. 1997 to Jan. 2000, we operated 58 cases of ankle fractures involving bimalleolar and lateral malleolar area. 35 cases which were followed more than one year were enrolled into the study. We evaluated the clinical results according to radiologic features such as lateral displacement, height difference between both malleoli, mortise width, talar tilt and joint space width.
RESULTS
According to Olerud Moland Ankle score, 16 cases(46%) had excellent result and 9 cases(26%) had good result. Radiologically the average initial lateral displacement, height difference, mortise width in the group which had good and excellent results were 1.64mm, 8.85mm, 0.49 and that in the group of fair and poor result were 1.5mm, 10.57mm, 0.48, respectively.(P>0.05)
CONCLUSION
The relationship between clinical result and radiologic features in the ankle bimalleolar and lateral malleolar fractures were not proved statistically. However, the tendency of affecting good clinical results which had malleolar height correction was seen.

Keyword

Ankle; fracture; radiologic index

MeSH Terms

Ankle Fractures*
Ankle*
Follow-Up Studies
Joints