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Research Article| Volume 22, ISSUE 5, P403-406, September 1991

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Operative treatment of ankle fractures in adults: correlation between types of fracture and final results

  • P.L.O. Broos
    Correspondence
    Requests for reprints should be addressed to: Prof. Dr P. L. O. Broos, Department of Traumatology and Emergency Surgery, University Hospital ‘Gasthuisberg’, Herestraat 49,3000 Leuven, Belgium.
    Affiliations
    University Hospitals, Katholieke Universiteit, Leuven, Belgium
    Search for articles by this author
  • A.P.G. Bisschop
    Affiliations
    University Hospitals, Katholieke Universiteit, Leuven, Belgium
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DOI:https://doi.org/10.1016/0020-1383(91)90106-O
Operative treatment of ankle fractures in adults: correlation between types of fracture and final results
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      Abstract

      By means of a simple and easy classification, namely uni, bi- and trimalleolar ankle fractures, and the localization of the fracture at the level of the fibula; all of the 612 ankle fractures that were surgically treated at the Leuven University Hospital were easily classified.
      In 590 cases the results were collected 1 year after the operation by means of an evaluation system based on symptoms, clinical findings and radiographic findings.
      The influence of the type of fracture was analysed and led to the following conclusion:
      • 1.
        1. Unimalleolar fractures have a better prognosis than trimalleolar fractures.
      • 2.
        2. An isolated medial malleolar fracture gives a worse final result than an isolated lateral malleolar fracture.
      • 3.
        3. Multimalleolar fractures, including the medial malleolus, have a worse prognosis than multimalleolar fractures without medial malleolar fractures.
      • 4.
        4. Even after perfect internal fixation, the presence of a posterior fragment larger than one-third of the articular surface leads to a worse final result than a small unfixed fragment.
      • 5.
        5. Weber's classification may not be useful for prognosis.
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      Article info

      Publication history

      Accepted: December 19, 1990

      Identification

      DOI: https://doi.org/10.1016/0020-1383(91)90106-O

      Copyright

      © 1991 Published by Elsevier Inc.

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