The influence of foot and ankle injury patterns and treatment delays on outcomes in a tertiary hospital; a one-year prospective observation

The diagnostics and treatment of ankle trauma remain challenging as they enable the patients’ return to work and ability to perform daily activities. The aim of the study was to evaluate characteristics and outcomes of ankle injuries, focusing on the trauma mechanisms in winter and summer seasons. A retrospective study was conducted of 182 patients with ankle injuries, admitted to the Hospital of Traumatology and Orthopaedics in 2014, 2015, and 2016 from the months December to February, and from June to August. Patients with supination-external rotation (SER) type ankle injuries were included in the functional outcome evaluation. Our results suggested that most of the injuries were SER type, stage IV in both seasons, and that more than 2/3 of the SER type ankle injuries that needed surgery were in the winter season. In patients with tibiofibular syndesmosis (TFS) rupture the functional results were worse than in those without TFS rupture, but in winter and summer seasons they seemed to be without statistical difference.

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“…In an other study, the outcome evaluation mean FADI score was 93.13 in simple ankle fractures (without TFS rupture) (Sharma et al, 2016).…”

Section: Discussionmentioning

confidence: 84%

Characteristics and Outcomes of Ankle Injuries in Winter and Summer Seasons

Jakušonoka

Arcimovičs

Vinčela

et al. 2020

Proceedings of the Latvian Academy of Sciences. Section B. Natural, Exact, and Applied Sciences.

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“…The incidence of foot and ankle injuries has been reported to represent as high as 10% of all trauma cases 1 . Costs related to diabetic foot ulcer care are greater than $1 billion annually and rising, with neuropathy and infection accounting for 90% of related admissions 2 .…”

Section: Introductionmentioning

confidence: 99%

New Techniques in MR Imaging of the Ankle and Foot

Bae

Ruangchaijatuporn

Chung

2017

Magnetic Resonance Imaging Clinics of North America

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Synopsis Foot and ankle disorders are commonplace in everyday clinical practice. Magnetic resonance imaging (MRI) is frequently required for accurate diagnosis given the broad spectrum of pathology and complexity of foot and ankle anatomy. While conventional MRI plays a significant role for diagnosis, contemporary management increasingly relies upon advanced imaging for monitoring therapeutic response. Subsequently, there is an expanding need for identification of biomarkers for musculoskeletal tissues such as cartilage, tendon, bone and nerves. Advanced imaging techniques capable of imaging these tissue substrates will be increasingly utilized in routine clinical practice. Radiologists should therefore become familiar with these innovative MR techniques. Many such techniques are already widely used in other organ systems, such as isotropic 3D imaging acquisitions, diffusion weighted imaging, and kinematic imaging. Other techniques have until recently been limited to the research realm, and include MR neurography, ultrashort TE MRI and quantitative MRI.

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“…Foot and ankle injuries are among the most common injuries (10%) encountered in orthopedic trauma centers of tertiary hospitals. 1,2 The majority of these injuries are severe, often seen in young adult males, and frequently neglected in polytrauma cases. Injuries of the bones constituting the ankle (30.6%) are most common among the foot injuries followed closely by metatarsal (27.9%) and calcaneal fractures (21.4%).…”

Section: Introductionmentioning

confidence: 99%

Open Fractures of the Ankle: Management Options and Factors influencing Outcomes

Rajnish¹,

Saini²,

Cheema³

2017

Journal of Foot and Ankle Surgery (Asia Pacific)

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Open ankle fractures are rare injuries among all the ankle fractures and commonly occur after high-velocity trauma in road traffic accidents resulting in varying amounts of soft-tissue loss, periosteal stripping, microbial contamination, bone loss, and vascular injury. Management of open ankle fractures remains a daunting task due to the complex osseo-ligamentous complex, relatively thin soft-tissue coverage around the joint, propensity for wound infection and complications, and the risk of impaired functional ability. Management in the emergency trauma room includes initial stabilization of the patient, focused history, and detailed clinical evaluation determining the level and type of injury, extent of wound contamination, soft-tissue and/or bone loss, and neurovascular status of the injured limb followed by radiographic evaluation. Early antibiotics administration and wound assessment, irrigation, aseptic dressing, and temporary splintage form the cornerstone of initial orthopedic stabilization of open fractures. There is a general consensus that all open ankle fractures need early debridement and fixation to restore articular congruity and alignment of fracture fragments although the timing of internal/definitive fixation of open ankle fractures is still debatable. Common complications include superficial and deep infections, marginal skin necrosis, compartment syndrome, nonunion/malunion, and secondary osteoarthritis. Timely interventions improve orthopedic outcomes in these patients. How to cite this article Saini UC, Dhillon MS, Cheema U, Rajnish RK. Open Fractures of the Ankle: Management Options and Factors influencing Outcomes. J Foot Ankle Surg (Asia-Pacific) 2017;4(2):69-76.

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The influence of foot and ankle injury patterns and treatment delays on outcomes in a tertiary hospital; a one-year prospective observation

Cited by 14 publications

References 30 publications

Characteristics and Outcomes of Ankle Injuries in Winter and Summer Seasons

Characteristics and Outcomes of Ankle Injuries in Winter and Summer Seasons

New Techniques in MR Imaging of the Ankle and Foot

Open Fractures of the Ankle: Management Options and Factors influencing Outcomes

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