The relevance of ankle-fracture-associated lesions - a prospective study

The objective of this prospective study was to determine clinical and radio logical results 2 years after ankle fractures and to compare them with preo perative arthroscopic findings. Of 135 consecutive patients undergoing oste osynthetic treatment, 128 (type A, 2; type B, 97; type C, 29) were reviewed 2 years later. The Kitaokascore for functional and clinical rating and the Kannusscore for radiological rating were used. Initial cartilaginous lesio ns localized on the medial malleolus led to poor clinical ratings (P < 0.01 ) and cartilaginous lesions of the pilon tibiale and talus caused poor radi ological results (P < 0.032 and P < 0.046). After rupture of the deltoid li gament, more pain was observed (P < 0.038). Rupture of the syndesmosis, how ever, did not affect the outcome. Clinical outcome was poor among the 30- t o 65-year-old patients. The clinical and radiological outcome of women was poorer (P < 0.018 and P < 0.046) than for men. The older the patients, the more radiological signs of arthritis were found. The outcome of ankle fract ure seems to correlate significantly with the nature, dimension and localiz ation of fracture-associated cartilaginous and ligament lesions. Age and se x also seem to play a significant role in the outcome.