AB219. 57. Benefits of arthroscopy in acute ankle fracture fixation
Orthopaedic Poster Session

AB219. 57. Benefits of arthroscopy in acute ankle fracture fixation

Ciaran McDonald, Peter McLoughlin, Conor O’Dwyer, Daniel Dumbrava, Thomas Bayer

Department of Orthopaedic, Midland Regional Hospital Tullamore, Tullamore, Co Offaly, Ireland


Background: Ankle fractures are one of the most common injuries treated by Orthopaedic Surgeons. A minority of patients with ankle fractures go on to develop persistent pain following anatomical reduction. These sequelae may arise as a result of untreated ligamentous or chondral injuries. Our study aims to correlate acute arthroscopic ankle findings with the Lauge-Hansen fracture pattern classification. We further aim to compare subjective functional outcomes at least 1 year following surgery between patients who have received open reduction internal fixation (ORIF) alone versus ORIF plus arthroscopy.

Methods: This is a retrospective case series of patients who have undergone ankle fracture ORIF +/– arthroscopy (from July 15 to July 17 inclusive). Each patient’s presenting ankle radiograph was classified according to the Lauge-Hansen ankle fracture classification with subsequent correlation to intra-operative arthroscopic findings. Functional outcome at a minimum of one year was evaluated with the American Academy of Orthopaedic Surgeons (AAOS) metric.

Results: Twenty-two patients underwent ankle ORIF plus arthroscopy (Group A) with a further 26 patients receiving ORIF alone (Group B). Thirty-three percent of supination external rotation (SER) II injury possessed a concomitant syndesmosis injury orosteochondral lesion (OCL) on arthroscopy. Thirty-three percent of patients with a SER IV injury had an OCL injury. The mean AAOS score (0−100) achieved for Group A was 89.6±7.9. The mean AAOS score (0−100) achieved for Group A was 89.6 (±7.9). The mean AAOS score achieved for Group B was 82.0 (±13.7).

Conclusions: In conclusion, Ankle arthroscopy helps in the diagnosis and treatment of ligamentous injuries and osteochondral injuries not evident on plain film with subsequent excellent short-term outcomes identified.

Keywords: Ankle fracture; arthroscopy; osteochondral injury; syndesmosis; Lauge-Hansen


doi: 10.21037/map.2019.AB219
Cite this abstract as: McDonald C, McLoughlin P, O’Dwyer C, Dumbrava D, Bayer T. Benefits of arthroscopy in acute ankle fracture fixation. Mesentery Peritoneum 2019;3:AB219.