Abstract
The aim of this study was to evaluate the one-year results of the effects of an eight-week functional rehabilitation program on pain, swelling, range of motion, balance, fear of movement, functional status of the ankle, and quality of life in a patient with a surgically treated trimalleolar ankle fracture. In the study, pain (Visual Analogue Scale), ankle joint swelling (Figure of eight methods), range of motion (Universal goniometer), static balance performance (Flamingo Balance Test), fear of movement (Tampa Kinesophobia Scale), functional status of the ankle (Foot Function Index) and quality of life (SF-36 Health Survey) were assessed. An eight-week functional rehabilitation program was applied to the patient after 8th week from surgery. Assessments were repeated before and after functional rehabilitation program, and at the one-year follow-up. At the end of the functional rehabilitation program and in one-year follow-up, it was found that pain, swelling, and fear of movement decreased, range of motion, balance, functional status of the ankle, and quality of life increased. In trimalleolar ankle fractures, a well-planned functional physiotherapy and rehabilitation program after surgery can support surgical treatment by reducing the patient's symptoms and fear of movement, increasing functional capacity and quality of life.
Highlights
Ankle fractures are among the most common fractures in the lower extremity [1]
trimalleolar ankle fracture (TAF) is the rarest type of ankle fracture
An eight-week functional rehabilitation program (FRP) was applied to the patient in which a TAF was surgically treated
Summary
Ankle fractures are among the most common fractures in the lower extremity [1]. These fractures are classified as unimalleolar, bimalleolar, or trimalleolar based on the number of malleolus involved in the fracture. Unimalleolar fracture refers to the fracture of either medial or lateral malleolus, while bimalleolar fracture describes fractures of both malleoli. The majority of ankle fractures comprise these fractures. A trimalleolar ankle fracture (TAF) is a type of complex ankle fracture that includes a posterior malleolar fracture in addition to the bimalleolar fracture. It is the rarest type that presents in 7% of all ankle fractures and generally occurs with highenergy trauma [1,2]
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