Surgical management of ankle fractures: Functional outcomes in a prospective cohort

Abstract

Background: Ankle fractures are common orthopedic injuries that often require surgical intervention to restore joint stability and function. This study evaluates the functional outcomes of surgically treated ankle fractures in a cohort of 44 patients. Methods: A prospective study was conducted on 44 patients who underwent open reduction and internal fixation (ORIF) for ankle fractures. Functional outcomes were assessed using the American Orthopaedic Foot & Ankle Society (AOFAS) Ankle-Hindfoot Scale and the Olerud-Molander Ankle Score (OMAS) at 6 months postoperatively. Radiographic evaluation was performed to assess fracture union and alignment. Results: The mean AOFAS score was 82.6±9.4, and the mean OMAS was 78.2±11.3, indicating good to excellent functional outcomes in most patients. Complications included superficial infection (4.5%), delayed wound healing (6.8%), and post-traumatic arthritis (9.1%). Age, fracture type (Weber classification), and time to surgery significantly influenced outcomes. Conclusion: Surgical management of ankle fractures yields satisfactory functional results in most patients. Early anatomical reduction and stable fixation are crucial for optimal recovery.