Case Report

High-Energy Transsyndesmotic Ankle Fracture Dislocation: A Case Report and Systematic Literature Review

Table 3

Posttreatment follow-up.

PublicationDuration of the follow-up, monthsAverage AOFAS score at final follow-up visitOther indicators (N/total N [% of total N]) or mean (SD)Complications (N/total N [% of total N])

Wang et al. [1]Up to 12 months >75(i) Good Burwell-Charnely radiographic union score (22/41 [53.7%])
(ii) Fair Burwell-Charnely radiographic union score (16/41 [36%])
(iii) Poor Burwell-Charnely radiographic union score (3/41 [7.3%])
(i) Infection (3/41 [7.3%])
(ii) Fracture nonunion (3/41 [7.3%])
(iii) Posttraumatic ankle arthritis (28/41 [68.3%])

Bible et al. [2]Mean (SD) of 20.6 (6.2) monthsMean (SD) of 67 (26.8)(i) SMF dysfunction index, mean (SD) of 32.9 (28.6)
(ii) SMF bother index, mean (SD) of 34.5 (29.5)
(i) Infection (4/23 [17%])
(ii) Fracture nonunion (4/23 [17%])
(iii) Posttraumatic ankle arthritis (16/23 [69.6%])

Footnote: presented separately for patients with typical (caused mainly by vertical axial stress) and atypical (caused mainly by rotational stress) injuries.