Title

Determinants of functional outcome following ankle fracture.

Document Type

Article

Publication Date

7-21-2021

Publication Title

OTA International

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 5.9 years after injury.

Intervention: Open reduction internal fixation.

Main outcome measure: Foot Function Index (FFI) and Short Musculoskeletal Function Assessment (SMFA).

Results: Mean age was 46.7 years, 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

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.

Volume

4

Issue

3

First Page

139

Last Page

139

DOI

10.1097/OI9.0000000000000139

ISSN

2574-2167

PubMed ID

34746671

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