FUNCTIONAL OUTCOME FOLLOWING OPERATIVE TREATMENT OF ANKLE FRACTURES AT ADDIS ABABA BURN, EMERGENCY AND TRAUMA HOSPITAL IN PATIENTS TREATED FROM AUGUST 2015 TO MARCH 2019.

Abstract

ABSTRACT Background: Ankle fracture is one of common fractures treated in Addis Ababa Burn, Emergency and Trauma Hospital. International studies show that there are mixed functional outcomes. Methods: Orthopedics Operation registration books for Addis Ababa Burn, Emergency and Trauma Hospital were retrospectively reviewed to gain a population of patients who sustained ankle fractures for the period August 2015 – March 2019. MRN registered on OR log book is used to access patients chart and relevant data about the fracture will be collected with structured data collection format. These patients were asked about their current ankle function, 2 - 5 years after fracturing their ankle. Results: Of 240 patients that sustained ankle fractures, 122 were selected meting the inclusion criteria. 76 of them are evaluated for outcome (62.3 %). OMAS is used to evaluate functional outcome which scores outcome from 0 – 100. Score of 0-30 is ‘poor’, 31-60 is ‘Fair’, 61 -90 is ‘Good’, 91 – 100 is; Excellent’. All fracture type averaged Olerud-Molander ankle scores of 76.5. Those patients of age younger than 40 has statistically better outcome than above age of 40, and those operated within 24 hour for closed ankle fracture has better outcome than those with closed fracture and operated after of 24 hour of sustaining ankle fracture. Five patients (4%) achieved ‘poor’ results, 8 (7%) patients achieved a ‘fair’ result, 51 (42%) patients gained a ‘good’ result, and 12 (10 %) patients’ attained ‘excellent’ results. Fourty seven patients (39 %) think they didn’t recover fully while the rest claimed they did. Conclusion: - Patients who sustain ankle fractures can be expected to be still experiencing functional difficulties two years posttreatment. Key words: Ankle fractures, SPMMC, Orthopedics, Outcome assessment, Retrospective study