head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2022, vol. 28, issue1
Subject Area: Medicine
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DOI: 10.5272/jimab.2022281.4207
Published online: 27 January 2022

Original article
J of IMAB. 2022 Jan-Mar;28(1):4207-4210
FUNCTIONAL RECOVERY AFTER SURGICALLY TREATED FRACTURES OF THE ANKLE JOINT
Petya ParashkevovaORCID logo Corresponding Autoremail, Radoslava DelevaORCID logo,
Department Public Health, Faculty Public health and health care, University of Ruse, Bulgaria.

ABSTRACT:
Purpose: Ankle fractures are one of the most common injuries of the musculoskeletal system. They account for approximately 10% of all fractures, and many studies show that their incidence is increasing. The aim of the report is to monitor the functional recovery of patients with surgically treated ankle fractures using AOFAS.
Methods: We conducted clinical work with patients in the period 2019 - 2021. The study included 34 patients with ankle fractures treated surgically. The average age is 37.8 years. The monitored period of functional recovery for each patient was 2 months.
Results: To establish the functional condition and to objectify the treatment results, we applied the American Orthopaedic Foot & Ankle Society (AOFAS). The test consists of 9 questions divided into 3 categories: pain (40 points), function (50 points) and alignment (10 points). Results are reported as standard deviations with 95% confidence intervals. We conducted the study, reporting the category "Pain" at rest and while moving. The initial data from AOFAS are 32.04(at rest)  / 23.51 (when moving) points, which means a very limited function of the ankle joint. At the end of the follow-up period, the results were respectively 84.02 /77.84 points, which shows a significant improvement in the functional capabilities of patients.
Conclusions: Based on the results obtained from the applied methodology for physiotherapy recovery, it can be said that the developed physiotherapy program of special exercises combined with manual mobilization techniques has a beneficial effect in restoring the arthrokinematics of the ankle-foot complex.

Keywords: ankle joint, ankle fractures, postoperative physiotherapy, American Orthopaedic Foot & Ankle Society (AOFAS),

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Please cite this article as: Parashkevova P, Deleva R. Functional recovery after surgically treated fractures of the ankle joint. J of IMAB. 2022 Jan-Mar;28(1):4207-4210.
DOI: 10.5272/jimab.2022281.4207

Corresponding AutorCorrespondence to: Petya Andreeva Parashkevova, "Angel Kanchev" University of Ruse; 8, Studentska Str., Ruse, Bulgaria; E-mail: pparashkevova@uni-ruse.bg

REFERENCES:
1. Popov N. [Kinesiology and pathokinesiology of the musculoskeletal system] [in Bulgarian] NSA-Press, Sofia. 2009. pp.241-255.
2. Brockett CL, Chapman GJ. (2016) Biomechanics of the ankle. Orthop Trauma. 30(3):232-238. [Internet]
3. Goost H, Wimmer MD, Barg A, Kabir K, Valderrabano V, Burger C. Fractures of the ankle joint: investigation and treatment options. Dtsch Arztebl Int. 2014 May 23;111(21):377-88. [PubMed]
4. Court-Brown CM, Caesar B. Epidemiology of adult fractures: a review. Injury. 2006 Aug 1;37(8):691-697. [Crossref]
5. Becheva M, Georgiev D, Obrechkova D, Petrova V. Hippotherapy: integrated approach in children with cerebral palsy (CP). World J Pharm Pharm Sci. 2016; 5(7):9-17.  [Internet]
6. Holevic Y. (Editor) [Clinical orthopedics] [in Bulgarian] Sofia: Medicina i Fizkultura. 2008, pp.32-41.
7. Medina McKeon JM, Hoch MC. The Ankle-Joint Complex: A Kinesiologic Approach to Lateral Ankle Sprains. J Athl Train. 2019 Jun;54(6):589-602. [PubMed]
8. Yuen CP, Lui TH. Distal Tibiofibular Syndesmosis: Anatomy, Biomechanics, Injury and Management. Open Orthop J. 2017;11:670-677. [PubMed]
9. Alves T, Dong Q, Jacobson J, Yablon C, Gandikota G. Normal and Injured Ankle Ligaments on Ultrasonography With Magnetic Resonance Imaging Correlation. J Ultrasound Med. 2019 Feb;38(2):513-528. [Crossref]
10. Thordarson DB, Motamed S, Hedman T, Ebramzadeh E, Bakshian IS. The effect of fibular malreduction on contact pressures in an ankle fracture malunion model. J Bone Joint Surg Am. 1997 Dec;79(12):1809-15 [PubMed]
11. Ramsey PL, Hamilton W. Changes in tibiotalar area of contact caused by lateral talar shift. J Bone Joint Surg Am. 1976 Apr;5893):356-7. [PubMed]
12. Mehta SS, Rees K, Cutler L, Mangwani J. Understanding risks and complications in the management of ankle fractures. Indian J Orthop. 2014 Sep;48(5):445-52 [PubMed]
13. Nieto E. Tibial pylon fracture associated with talus fracture and infrasindesmal spiral fibula. Case report and literature review. Int J Orthop Sci. 2020; 6(2):559-562 [Crossref]
 14 Tomás-Hernández J. High-energy pilon fractures management: State of the art. EFORT Open Rev. 2017 Mar 13;1(10):354-361. [PubMed]
15. Muller ME, Nazarian S, Koch P, Schatzker J. The comprehensive classification of fractures of long bones. Springer-Verlag: Berlin. 1990., pp.148-149 [Crossref]
16. Vladimirov B. (Editor) [Orthopedics, traumatology and orthotics] [in Bulgarian]. Znanie, Sofia. 2000. pp.158.

Received: 09 August 2021
Published online: 27 January 2022

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