Functional Outcomes and Quality of Life After Ankle Fracture Surgically Treated: A Systematic Review.

CONTEXT: Ankle fractures (AFs) are the most common fractures of the lower limbs found in emergency services. Approximately 53% of these fractures are unstable and treated surgically.

OBJECTIVE: To conduct a systematic review evaluating functional outcomes and quality of life of patients with AFs surgically treated.

EVIDENCE ACQUISITION: A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses statement. Five electronic databases were searched, without any limit on publication dates. Only patients with an unstable AF that was surgically treated were included; functional outcomes and the quality of life were controlled by the 36-Item Short-Form Health Survey instrument.

EVIDENCE SYNTHESIS: Five studies were included in the analysis, including 267 patients. The values of the Physiotherapy Evidence Database scale ranged between a minimum of 5 and a maximum of 7 points. Patients with surgically treated AF reported less functionality and physical capacity compared with the nonfractured population. Some patients experienced vitality, emotional, and mental health limitations for a long period. Most surgically treated patients reported no pain and a good health and social status.

CONCLUSION: Limitations in functionality and physical capacity represent the main threats to health-related quality of life in patients with surgically treated AFs.