Arthroscopically assisted ORIF for ankle fractures yielded good to excellent results
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Published results showed arthroscopically assisted open reduction and internal fixation for complex ankle fractures had good to excellent results and significantly better outcomes compared with regular open reduction and internal fixation.
Researchers assessed patient-reported outcome measures among 32 patients with acute, closed, bimalleolar equivalent, bimalleolar or trimalleolar ankle fractures treated with arthroscopically assisted open reduction and internal fixation (ORIF) at 1 and 4 years of follow-up using the Olerud and Molander Ankle Score and Tegner Activity Scale. Researchers also propensity score matched 25 patients in the arthroscopically assisted ORIF group to 25 patients from an ORIF database and compared the Olerud and Molander Ankle Score and foot and ankle ability measure (FAAM) between the two groups.
Results showed a significant difference in the longitudinal follow-up of the Tegner Activity Scale between preinjury and the 1- and 4-year follow-ups in the arthroscopically assisted ORIF group. However, researchers found no significant differences in the Olerud and Molander Ankle Score at 1 and 4 years, and the severity of the cartilage lesions had no significant influence on patient-reported outcome measures.
After propensity score matching, researchers noted significantly better outcomes in the Olerud and Molander Ankle Score and the FAAM for the arthroscopically assisted ORIF group compared with the regular ORIF group. Results showed patients in the arthroscopically assisted ORIF group had a higher FAAM sports score, with 96% of patients returning to sport vs. 77% of patients in the regular ORIF group.
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