Clinical outcome and concomitant injuries in operatively treated fractures of the lateral process of the talus
Abstract Background The aim of this study was to review the patient rated outcome (PROM) of surgically treated fractures to the lateral process of the talus (LPTF) and identify factors influencing the outcome. Methods Retrospective study with a current follow-up. Eligible were all patients treated s...
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doaj-36c16082fe2e41378e11be6bb0f3412c2020-11-25T02:59:10ZengBMCBMC Musculoskeletal Disorders1471-24742019-05-012011910.1186/s12891-019-2603-3Clinical outcome and concomitant injuries in operatively treated fractures of the lateral process of the talusHubert Hörterer0Sebastian Felix Baumbach1Stefan Lemperle2Sebastian Altenberger3Oliver Gottschalk4Alexander Tobias Mehlhorn5Anke Röser6Markus Walther7Center for Foot and Ankle Surgery, Schön Klinik München HarlachingDepartment of General, Trauma, and Reconstructive Surgery, University Hospital, LMU MunichCenter for Foot and Ankle Surgery, Schön Klinik München HarlachingCenter for Foot and Ankle Surgery, Schön Klinik Bad Aibling HarthausenCenter for Foot and Ankle Surgery, Schön Klinik München HarlachingCenter for Foot and Ankle Surgery, Schön Klinik München HarlachingCenter for Foot and Ankle Surgery, Schön Klinik München HarlachingCenter for Foot and Ankle Surgery, Schön Klinik München HarlachingAbstract Background The aim of this study was to review the patient rated outcome (PROM) of surgically treated fractures to the lateral process of the talus (LPTF) and identify factors influencing the outcome. Methods Retrospective study with a current follow-up. Eligible were all patients treated surgically for a LPTF (n = 23) with a minimum follow-up of one year. Demographics, medical history, trauma mechanism, fracture characteristics, concomitant injuries, treatment details, complications, return to work and sports were assessed retrospectively. The current follow-up included the VAS FA, Karlsson Score, and SF-12. The primary outcome was the VAS FA. Secondary aim was the identification of parameters influencing the PROMs. Results 22 patients (96% follow-up) with a mean age of 32 ± 9 (18 to 49) years were included. 73% suffered a Hawkins Type 1, 23% a Type 2, and one patient a Type 3 fracture. 82% suffered concomitant injuries. 9% suffered minor surgical side infections, 50% developed symptomatic subtalar osteoarthritis. At final follow-up (44 ± 2 (12 to 97) months), the mean VAS FA Overall was 77 ± 21 (20 to 100), the Karlsson Score 72 ± 21 (34 to 97), and for the SF 12 the PCS 53 ± 8 (36 to 64) and the MCS 53 ± 7 (32 to 63). 50% of patients returned to their previous level of sports. Hawkins Type 1 fractures resulted in better VAS FA Overall score than Type 2 fractures. Posttraumatic subtalar osteoarthritis was the independent factor associated to a poor patient rated outcome (VAS FA, Karlsson Score). Conclusion After a follow-up of over 3.5 years, surgically treated LPTF resulted in only moderate results. 50% suffered posttraumatic symptomatic subtalar osteoarthritis, which was the primary independent parameter for a poor outcome following LPTF. Level of evidence Level III.http://link.springer.com/article/10.1186/s12891-019-2603-3Fracturesnowboarder’s anklesnowboarder’s fractureLateral process of the talus |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hubert Hörterer Sebastian Felix Baumbach Stefan Lemperle Sebastian Altenberger Oliver Gottschalk Alexander Tobias Mehlhorn Anke Röser Markus Walther |
spellingShingle |
Hubert Hörterer Sebastian Felix Baumbach Stefan Lemperle Sebastian Altenberger Oliver Gottschalk Alexander Tobias Mehlhorn Anke Röser Markus Walther Clinical outcome and concomitant injuries in operatively treated fractures of the lateral process of the talus BMC Musculoskeletal Disorders Fracture snowboarder’s ankle snowboarder’s fracture Lateral process of the talus |
author_facet |
Hubert Hörterer Sebastian Felix Baumbach Stefan Lemperle Sebastian Altenberger Oliver Gottschalk Alexander Tobias Mehlhorn Anke Röser Markus Walther |
author_sort |
Hubert Hörterer |
title |
Clinical outcome and concomitant injuries in operatively treated fractures of the lateral process of the talus |
title_short |
Clinical outcome and concomitant injuries in operatively treated fractures of the lateral process of the talus |
title_full |
Clinical outcome and concomitant injuries in operatively treated fractures of the lateral process of the talus |
title_fullStr |
Clinical outcome and concomitant injuries in operatively treated fractures of the lateral process of the talus |
title_full_unstemmed |
Clinical outcome and concomitant injuries in operatively treated fractures of the lateral process of the talus |
title_sort |
clinical outcome and concomitant injuries in operatively treated fractures of the lateral process of the talus |
publisher |
BMC |
series |
BMC Musculoskeletal Disorders |
issn |
1471-2474 |
publishDate |
2019-05-01 |
description |
Abstract Background The aim of this study was to review the patient rated outcome (PROM) of surgically treated fractures to the lateral process of the talus (LPTF) and identify factors influencing the outcome. Methods Retrospective study with a current follow-up. Eligible were all patients treated surgically for a LPTF (n = 23) with a minimum follow-up of one year. Demographics, medical history, trauma mechanism, fracture characteristics, concomitant injuries, treatment details, complications, return to work and sports were assessed retrospectively. The current follow-up included the VAS FA, Karlsson Score, and SF-12. The primary outcome was the VAS FA. Secondary aim was the identification of parameters influencing the PROMs. Results 22 patients (96% follow-up) with a mean age of 32 ± 9 (18 to 49) years were included. 73% suffered a Hawkins Type 1, 23% a Type 2, and one patient a Type 3 fracture. 82% suffered concomitant injuries. 9% suffered minor surgical side infections, 50% developed symptomatic subtalar osteoarthritis. At final follow-up (44 ± 2 (12 to 97) months), the mean VAS FA Overall was 77 ± 21 (20 to 100), the Karlsson Score 72 ± 21 (34 to 97), and for the SF 12 the PCS 53 ± 8 (36 to 64) and the MCS 53 ± 7 (32 to 63). 50% of patients returned to their previous level of sports. Hawkins Type 1 fractures resulted in better VAS FA Overall score than Type 2 fractures. Posttraumatic subtalar osteoarthritis was the independent factor associated to a poor patient rated outcome (VAS FA, Karlsson Score). Conclusion After a follow-up of over 3.5 years, surgically treated LPTF resulted in only moderate results. 50% suffered posttraumatic symptomatic subtalar osteoarthritis, which was the primary independent parameter for a poor outcome following LPTF. Level of evidence Level III. |
topic |
Fracture snowboarder’s ankle snowboarder’s fracture Lateral process of the talus |
url |
http://link.springer.com/article/10.1186/s12891-019-2603-3 |
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