Abstract

• PURPOSE: The purpose of this article is to evaluate the factors affecting clinical result after surgical treatment of ankle fracture. We evaluate the radiologic features of initial, post-operative and last follow up ankle anteroposterior view. MATERIALS AND METHODS: From Feb. 1997 to Jan. 2000, we operated 58 cases of ankle fractures involving bimalleolar and lateral malleolar area. 35 cases which were followed more than one year were enrolled into the study. We evaluated the clinical results according to radiologic features such as lateral displacement, height difference between both malleoli, mortise width, talar tilt and joint space width. RESULTS: According to Olerud Moland Ankle score, 16 cases(46%) had excellent result and 9 cases(26%) had good result. Radiologically the average initial lateral displacement, height difference, mortise width in the group which had good and excellent results were 1.64mm, 8.85mm, 0.49 and that in the group of fair and poor result were 1.5mm, 10.57mm, 0.48, respectively.(P>0.05) CONCLUSION: The relationship between clinical result and radiologic features in the ankle bimalleolar and lateral malleolar fractures were not proved statistically. However, the tendency of affecting good clinical results which had malleolar height correction was seen.
• Key words: Ankle, fracture, radiologic index

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