Ankle fractures and employment: a life-changing event for patients

Thakore, Rachel V.; Hooe, Benjamin S.; Considine, Perrin T.; Sathiyakumar, Vasanth; Onuoha, Gerald; Hinson, Julian K.; Obremskey, William T.; Sethi, Manish K.

doi:10.3109/09638288.2014.923525

Cited by 23 publications

(18 citation statements)

References 14 publications

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“…They suggested that improving patient compliance with attendance for rehabilitation may improve employment outcomes. 23 Ponzer et al in 1999 studied 53 patients with type B ankle fracture who were treated operatively. They found that about 60 percent of the patients had an excellent OMA score and a good clinical outcome.…”

Section: Inferencementioning

confidence: 99%

Functional Outcome Following Operative Treatment of Ankle Fractures

D'Almeida¹,

Thomas²,

Devasia³

et al. 2015

jemds

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Section: Inferencementioning

confidence: 99%

Functional Outcome Following Operative Treatment of Ankle Fractures

D'Almeida¹,

Thomas²,

Devasia³

et al. 2015

jemds

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“…Unstable syndesmotic injuries occur in up to every seventh ankle fracture [1]. The high socioeconomic relevance of this injury has already been proven in the context of retrospective studies [2, 3].…”

Section: Introductionmentioning

confidence: 99%

Influence of ankle joint position on angles and distances of the ankle mortise using intraoperative cone beam CT: A cadaveric study

et al. 2019

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Background The precise anatomical reduction of the ankle mortise is crucial for the clinical outcome in unstable syndesmotic injuries. Intraoperative cone beam computed tomography (CT), in addition to two-dimensional fluoroscopy, provides detailed information about the reduction and implant placement. The aim of this study was to analyze the influence of the joint position on the fibula position in the incisural notch and to determine the inter- and intraindividual anatomical differences in the intact ankle joints. Methods A total of 20 fresh-frozen lower legs disarticulated in the knee joint of 10 individuals were included. The measurements were performed using a cone beam CT. The distances and angles were measured in the standard imaging planes. The mean values of distances and angles were compared during the different joint positions: 10° dorsiflexion, 0° neutral position and 20° plantar flexion. Results The influence of the joint position was on average as follows: The anterior tibiofibular distance was 3.68 mm in 10° dorsiflexion, 3.66 mm (0° neutral position) and 3.59 mm (20° plantar flexion). The posterior tibiofibular distance measured 7.82mm, 7.76mm and 7.82mm. The rotation of the fibula measured ten millimeters proximal the joint line was 1.2°, 1.3° and 1.05°. The fibular rotation determined 4mm was 9.3°, 9.4° and 9.4°. On average, the following intraindividual variations were observed: superior tibiotalar clear space of 0.27mm and 0.15mm medial; and anterior tibiofibular distance of 0.42mm, 0.38mm posterior and 0.24mm in the incisural notch. The proximal angle of the fibular rotation was 0.2° and distal 0.4°. The interindividual variations of the angles and distances exceeded the intraindividual values partly by 3 to 4 fold. Conclusions Within the scope of this study neither the tibiofibular distance, nor the tibiofibular angle changed significantly through the different joint positions. The intraindividual differences were little while the interindividual variations of the parameters were distinctive.

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“…Trauma leading to fractures of the distal radius (DRF) or ankle (AF) is quite common, with incidence rates of 26–32 per 10 4 person years for DRF [ 1 – 3 ] and 10.1 per 10 4 person years regarding AF [ 4 ]. Patients may experience secondary fracture displacement [ 5 – 7 ], suffer from pain, stiffness, sleep difficulties, reduced grip strength, and/or restricted range of motion [ 8 – 12 ], which affect employment [ 13 – 15 ], sports [ 8 , 9 ], and quality of life (QOL; i.e., patients’ subjective evaluations of their functioning and well-being [ 16 – 18 ]).…”

Section: Introductionmentioning

confidence: 99%

Trajectories in quality of life of patients with a fracture of the distal radius or ankle using latent class analysis

et al. 2017

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PurposeThis prospective study aimed to identify the different trajectories of quality of life (QOL) in patients with distal radius fractures (DRF) and ankle fractures (AF). Secondly, it was examined if subgroups could be characterized by sociodemographic, clinical, and psychological variables.MethodsPatients (n = 543) completed the World Health Organization Quality of Life assessment instrument-Bref (WHOQOL-Bref), the pain, coping, and cognitions questionnaire, NEO-five factor inventory (neuroticism and extraversion), and the state-trait anxiety inventory (short version) a few days after fracture (i.e., pre-injury QOL reported). The WHOQOL-Bref was also completed at three, six, and 12 months post-fracture. Latent class trajectory analysis (i.e., regression model) including the Step 3 method was performed in Latent Gold 5.0.ResultsThe number of classes ranged from three to five for the WHOQOL-Bref facet and the four domains with a total variance explained ranging from 71.6 to 79.4%. Sex was only significant for physical and psychological QOL (p < 0.05), whereas age showed significance for overall, physical, psychological, and environmental QOL (p < 0.05). Type of treatment or fracture type was not significant (p > 0.05). Percentages of chronic comorbidities were 1.8 (i.e., social QOL) to 4.5 (i.e., physical QOL) higher in the lowest compared to the highest QOL classes. Trait anxiety, neuroticism, extraversion, pain catastrophizing, and internal pain locus of control were significantly different between QOL trajectories (p < 0.05).ConclusionsThe importance of a biopsychosocial model in trauma care was confirmed. The different courses of QOL after fracture were defined by several sociodemographic and clinical variables as well as psychological characteristics. Based on the identified characteristics, patients at risk for lower QOL may be recognized earlier by health care providers offering opportunities for monitoring and intervention.

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Ankle fractures and employment: a life-changing event for patients

Abstract: Ankle fracture patients are likely to suffer high rates of unemployment or disability shortly after their injury. Further investigations with a larger-scale, randomized patient population can provide important information on employment status following ankle fractures.

Cited by 23 publications

References 14 publications

Functional Outcome Following Operative Treatment of Ankle Fractures

Functional Outcome Following Operative Treatment of Ankle Fractures

Influence of ankle joint position on angles and distances of the ankle mortise using intraoperative cone beam CT: A cadaveric study

Trajectories in quality of life of patients with a fracture of the distal radius or ankle using latent class analysis

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