Unsatisfactory outcome following surgical intervention of ankle fractures

The aim of this study was to evaluate outcome after surgical intervention in patients with ankle fractures. Fifty-four patients consecutively operated were included. A standardised protocol was used to record a number of variables regarding patient characteristics, type of fracture and treatment. Radiographic examination was performed in all patients postoperatively and after 14 months. A questionnaire containing the Olerud-Molander Ankle Score (OMAS) and some supplementary questions was used 14 months and 3 years after surgery. The median OMAS was 75 at the 14-month and 85 at the 3-year follow-up. Patients <40 years of age scored significantly better. Only 50% returned to the same activity level 14 months after injury. Pain, stiffness and swelling were present among more than half of the patients and 40% reported instability and problems when using stairs. In conclusion, subjective outcome 3 years after surgical intervention for ankle fractures is poorer than expected.