Volume 11, Issue 2 (May 2024)
JROS 2024, 11(2): 107-114 |
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Sobhani A, Seifi Ashkezari A, Fathi A. Radiographic and Functional Outcomes of Tibial Fixation in Patients With Tibiofibular Fractures. JROS 2024; 11 (2) :107-114
URL: http://jros.iums.ac.ir/article-1-2281-en.html
URL: http://jros.iums.ac.ir/article-1-2281-en.html
1- Department of Orthopaedics Surgery, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
2- School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
2- School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Abstract: (66 Views)
Background: The uncertain significance of tibial fixation in managing concurrent tibiofibular fractures, coupled with the epidemiological relevance of this matter, prompted us to undertake this study. Our objective was to examine the radiographic and functional results of patients with tibiofibular fractures who received tibial fixation exclusively at Rasoul Akram Hospital.
Objectives: This research aims to contribute to a deeper understanding of the underlying pathophysiology and to enhance patient quality of life through more effective treatment strategies.
Methods: This retrospective cohort study was initiated after obtaining the necessary permits from the Ethics Committee of Iran University of Medical Sciences. After matching the patients with the inclusion and exclusion criteria, we reviewed their records and radiographic information. Information was recorded in a pre-designed checklist based on the study variables. After data collection, all patient information was analyzed using SPSS software, version 26.
Results: Of 75 patients studied, 57(76.0%) were male and 18(24.0%) were female, and the mean age of the patients was 35.60±11.09 years. In examining the changes in the radiographic union scale in tibial (RUST) fractures score during the study, the mean score increased from 4.21±0.62 at the beginning of the study to 8.59±2.07 at the sixth month and then to 10.57±1.5 at the 12th month, which was statistically significant compared to the start of the study (P<0.001). In examining the patients’ functional scale, the mean American Orthopedic Foot and Ankle Society (AOFAS) score was calculated to be 77.21±9.41. Upon reviewing the relationship between variables and radiographic outcome, a statistically significant association was observed between gender, smoking, diabetes, and RUST at the 12th month (P<0.05). Specifically, male gender, smoking, and diabetes were identified as the three factors associated with poorer radiographic outcomes. Additionally, examining the relationship between variables and functional outcome revealed a statistically significant association between gender, age group, and diabetes and the AOFAS (P<0.05). Specifically, male gender, older age, and diabetes were identified as the three factors associated with poorer functional outcomes.
Conclusion: Tibial fixation as a standalone intervention has demonstrated satisfactory radiological and functional results in treating patients with tibiofibular fractures. The presence of male gender, smoking habits, and diabetes emerged as three significant factors linked to poor radiographic outcomes. In contrast, male gender, advanced age, and diabetes were identified as three determinants associated with diminished functional outcomes. Recognizing the risk factors associated with adverse prognoses in patients can facilitate the selection of the most suitable treatment strategies for individual cases and enable the allocation of treatment resources according to each patient’s specific needs.
Objectives: This research aims to contribute to a deeper understanding of the underlying pathophysiology and to enhance patient quality of life through more effective treatment strategies.
Methods: This retrospective cohort study was initiated after obtaining the necessary permits from the Ethics Committee of Iran University of Medical Sciences. After matching the patients with the inclusion and exclusion criteria, we reviewed their records and radiographic information. Information was recorded in a pre-designed checklist based on the study variables. After data collection, all patient information was analyzed using SPSS software, version 26.
Results: Of 75 patients studied, 57(76.0%) were male and 18(24.0%) were female, and the mean age of the patients was 35.60±11.09 years. In examining the changes in the radiographic union scale in tibial (RUST) fractures score during the study, the mean score increased from 4.21±0.62 at the beginning of the study to 8.59±2.07 at the sixth month and then to 10.57±1.5 at the 12th month, which was statistically significant compared to the start of the study (P<0.001). In examining the patients’ functional scale, the mean American Orthopedic Foot and Ankle Society (AOFAS) score was calculated to be 77.21±9.41. Upon reviewing the relationship between variables and radiographic outcome, a statistically significant association was observed between gender, smoking, diabetes, and RUST at the 12th month (P<0.05). Specifically, male gender, smoking, and diabetes were identified as the three factors associated with poorer radiographic outcomes. Additionally, examining the relationship between variables and functional outcome revealed a statistically significant association between gender, age group, and diabetes and the AOFAS (P<0.05). Specifically, male gender, older age, and diabetes were identified as the three factors associated with poorer functional outcomes.
Conclusion: Tibial fixation as a standalone intervention has demonstrated satisfactory radiological and functional results in treating patients with tibiofibular fractures. The presence of male gender, smoking habits, and diabetes emerged as three significant factors linked to poor radiographic outcomes. In contrast, male gender, advanced age, and diabetes were identified as three determinants associated with diminished functional outcomes. Recognizing the risk factors associated with adverse prognoses in patients can facilitate the selection of the most suitable treatment strategies for individual cases and enable the allocation of treatment resources according to each patient’s specific needs.
Type of Study: Research Article |
Subject:
Foot and Ankle
Received: 2024/02/25 | Accepted: 2024/04/23 | Published: 2024/05/1
Received: 2024/02/25 | Accepted: 2024/04/23 | Published: 2024/05/1
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