Stability criteria for nonoperative XXXX management.

@entity1171 @entity1 @entity158 @entity174
BACKGROUND: This study was designed to see if stability based criteria are useful in choosing between nonoperative and operative treatment of @entity1171 . MATERIALS AND METHODS: One hundred sixty @entity1171 in skeletally mature @entity1 were retrospectively analyzed to obtain an epidemiological profile in a population of about 130,000. One hundred thirty @entity1 had followup of more than 2 years. A decision between operative and nonoperative treatment was made by the surgeon-on-duty, based on accepted stability criteria. @entity174 were classified according to Weber and Lauge-Hansen systems. Clinical outcome was assessed using the scoring systems of Olerud-Molander, the RAND 36-Item Health Survey and the Visual Analogue Scale (VAS), measuring @entity158 and function. RESULTS: The overall incidence of @entity1171 was 154/100,000. Nonoperatively treated @entity1 had more displacement of the distal fibula after treatment, but less @entity158 and better Olerud-Molander (good or excellent, 89% vs. 71%) and VAS functional scores. Independent factors for worse outcome were female gender, older age, unstable @entity174 and co-morbidity. No nonoperatively treated @entity1 needed operative fixation during followup. CONCLUSION: Stability-based @entity174 classification was a simple and useful tool in decision-making for the treatment of @entity1171 . We found @entity174 could be treated nonoperatively with success if the ankle mortise was stable. Displacement of the distal fibula after treatment did not affect functional scores or @entity158 .
