$Rank order analysis of tibial plafond fractures: does injury or reduction predict outcome?$

Journal article

Peer reviewed

Rank order analysis of tibial plafond fractures: does injury or reduction predict outcome?

T A DeCoster, M C Willis, J L Marsh, T M Williams, J V Nepola, D R Dirschl and S R Hurwitz

Foot & ankle international, Vol.20(1), pp.44-49

01/1999

DOI: 10.1177/107110079902000110

PMID: 9921773

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Abstract

We investigated the effects of severity of initial injury pattern and the quality of the articular reduction on outcome of displaced intra-articular distal tibial fractures, using a series of 25 patients who were treated with articulated external fixation and limited internal fixation, which provided a spectrum of reduction quality. Outcome was assessed by clinical ankle scores and radiographic arthrosis. The results demonstrate the rank order method to be a reliable means of stratifying severity of injury and quality of reduction. Neither injury nor reduction correlated with clinical ankle score. Reduction had a significant correlation with radiographic arthrosis. We conclude that the rank order method is useful in stratification of fracture patients, and that factors other than injury pattern and quality of articular reduction are important in determining outcome of patients with this severe articular injury.

Radiography

Reproducibility of Results

Joint Diseases - diagnostic imaging

Ankle Injuries - surgery

Humans

Middle Aged

Treatment Outcome

Joint Diseases - classification

Statistics as Topic - methods

Ankle Injuries - diagnostic imaging

Statistics as Topic - standards

Trauma Severity Indices

Forecasting

Ankle Injuries - classification

Ankle Joint - diagnostic imaging

Fracture Fixation - standards

Tibial Fractures - surgery

Joint Diseases - etiology

Adolescent

Tibial Fractures - complications

Adult

Tibial Fractures - classification

Fracture Fixation - classification

Details

Title: Subtitle: Rank order analysis of tibial plafond fractures: does injury or reduction predict outcome?
Creators: T A DeCoster - University of New Mexico Medical Center, Department of Orthopedics, Albuquerque 87131-5296, USA
M C Willis
J L Marsh
T M Williams
J V Nepola
D R Dirschl
S R Hurwitz
Resource Type: Journal article
Publication Details: Foot & ankle international, Vol.20(1), pp.44-49
Publisher: United States
DOI: 10.1177/107110079902000110
PMID: 9921773
ISSN: 1071-1007
eISSN: 1944-7876
Language: English
Date published: 01/1999
Academic Unit: Orthopedics and Rehabilitation
Record Identifier: 9984040381802771

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