Iraqi Postgraduate Medical Journal

Abstract

ABSTRACT:
BACKGROUND:
Fractures of the ankle are fairly common injuries. Large comparative studies that have evaluated long-term functional outcome of operatively treated ankle fractures are lacking.
OBJECTIVE:
This study is performed to analyse the functional outcome of gender, weight and age of patient with Weber C in the early follow up time.
PATIENTS AND METHODS:
This retrospective review of 18 patients (13 males and 5 females), age ranges between 19-78 years (average 38.9 years) with Weber type C ankle injury that were treated by open reduction and internal fixation in Medical city Complex from October 2013 to February 2014. All patients were followed up for a mean time of 15.5 months (12- 30 months) after index surgery. The body mass index (BMI) of all patients ranges from 19.9-36.7 (mean 27.4), of these patients, 6 (4 females and 2 males) had BMI more than 30 (mean 33.5), the other 12 patients had BMI of less than 30 (mean23.4). Outcome measurements were determined using the Olerud and Molander scoring system and Linear Analogue Scale for all patients.
RESULTS:
According to the (OMAS) scoring system, there were 12 patients had excellent outcome, 3 had good, 2 had fair and one patient had poor results.14 patients of less than 50 years their average OMAS score was 82.8, while those of more than 50 years 57.5 (P value =0.001); LAS score for patients less than 50 years average score was 8.07 while those more than 50 years was 5.5 (P value =0.0007).Male gender in this study was 13 patients, average OMAS score was 91.5, and average LAS was 9, female patients were average scored 40 and 3.6 by OMAS and LAS respectively. (P value=0.0022).Regarding the BMI, patients of less than 30 had average OMAS score 85 and LAS score 8.25. On the other hand, patients who had more than 30 BMI had average OMAS 61.6, and average LAS 6. (P value =0.0001).
CONCLUSION:
The early follow up time shows better results in male gender, younger age group, and non-obese patients. A long follow up time is required for this type of injury in order to base the evidence of these parameters and to evaluate the functional outcome.