Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Comparative Study of Surgical Treatment for Concomitant Ankle Joint Injury in Tibia Shaft Fracture

경골 간부 골절에서 족관절 손상에 대한 수술적 치료의 비교 연구

  • Jinho Park (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital) ;
  • Seungjin Lee (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital) ;
  • Hyobeom Lee (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital) ;
  • Gab-Lae Kim (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital) ;
  • Jiwoo Chang (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital) ;
  • Heebum Hahm (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital)
  • Received : 2023.03.06
  • Accepted : 2023.06.16
  • Published : 2023.09.15
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Abstract

Purpose: Concomitant ankle injuries associated with tibial shaft fractures can affect postoperative ankle joint pain and various postoperative ankle complications. This study compared the clinical outcomes between surgical treatment and conservative treatment of concomitant ankle injuries associated with tibial shaft fractures. Materials and Methods: From January 2015 to June 2020, a retrospective study was conducted on 118 tibia shaft fractures at the orthopedics department of the hospital. Associated ankle injuries were analyzed using plain radiographs, computed tomography (CT), magnetic resonance imaging (MRI), and intraoperative stress exams. The clinical outcomes were compared using the pain visual analog scale (pain VAS), American Orthopaedic Foot and Ankle Society Ankle-Hindfoot score (AOFAS score), and Karlsson-Peterson ankle score (KP score). Results: Seventy-two (61.02%) of the 118 cases were diagnosed with associated ankle injuries. Fifty-six cases underwent surgery for the ankle injury, and 16 cases underwent conservative treatment. The clinical results (according to the pain VAS score, AOFAS score, the KP score) were 1.79±1.26, 94.48±4.03, and 94.57±3.60, respectively, in the surgical treatment group, and 3.00±1.03, 91.06±3.02, and 91.25±3.31, respectively, in the conservative treatment group. Conclusion: Surgical treatment showed better clinical outcomes than conservative treatment in concomitant ankle injury in tibia fractures. Therefore, surgical treatment produces better clinical outcomes than conservative treatment in concomitant ankle injuries in tibia fractures. Hence to improve the clinical outcomes, more attention is needed on ankle joint injury in tibial shaft fractures for selecting suitable surgical treatments for those patients.

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References

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