Abstract:

Purpose: The aim of this study was to evaluate the post-operative clinical and radiological results of ankle fractures, using three different patient-reported outcome measurements (PROM) and to analyze the results and compatibility of the PROMs. Materials and Methods: A total of 77 patients were followed up prospectively. Demographic data, fracture side, trauma mechanisms, fracture types, post-operative splint times, initiation of full weight bearing time, and complications were recorded. All patients were evaluated according to the AOFAS, Ankle-Hindfoot Rating Scale, Weber Scoring and Freiburg Scale, at the first-year follow-ups. Results: The results were good in 57 patients (74%) and poor in 20 patients (26%), according to the AOFAS Scale; excellent in 51 patients (66.2%), good in 12 patients (15.6%) and poor in 14 patients (18.2%) according to the Weber Scoring, and excellent in 50 patients (64.9%), good in 12 patients (15.6%) and poor in 15 patients (19.5%) according to the Freiburg Scale. The results of the PROMs were found to be compatible with each other. Significant relationship was found between the development of complications and the AOFAS Scale and Weber Scoring, and between older age and Weber Scoring. Conclusion: The results of the AOFAS Scale, Weber Score and Freiburg Scales are compatible with each other and can be safely used in the evaluation of ankle fractures. Development of complications and older age are associated with poor clinical outcomes.

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