{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:23:35Z","timestamp":1787840615853,"version":"build-2784847793"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Bimalleolar ankle fractures, particularly those resulting from supination\u2013external rotation (SER) mechanisms, are common injuries. This study evaluates the short-term clinical outcomes and quality of life following surgical treatment of these fractures.<\/jats:p>\n <\/jats:sec>\n \n Mat\u0435rials and Methods:<\/jats:title>\n This prospective cohort study was conducted at two trauma centers in Isfahan, Iran. A total of 34 adults, with SER-type bimalleolar ankle fractures, underwent open reduction and internal fixation. Additionally, a matched control group comprising 34 healthy individuals was included in the study. Functional outcomes were evaluated using the Foot and Ankle Outcome Score (FAOS) and the Short Form-36 (SF-36) in the control group, as well as at three and six months post-surgery for the patient group.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The study included 24 males (70.6%) and 10 females (29.4%) in the case group, with a mean age of 32.8 years (SD \u00b1 9.7) and a mean BMI of 26.01 kg\/m\u00b2 (SD \u00b1 1.91). Significant improvements were observed in the patient group from three to six months post-surgery across multiple FAOS and SF-36 domains. FAOS pain scores increased from 67.8 \u00b1 7.5 to 83.9 \u00b1 8.3 (\n P<\/jats:italic>\n < 0.001), and activities of daily living improved from 75.3 \u00b1 8.0 to 88.7 \u00b1 8.5 (\n P<\/jats:italic>\n < 0.001), approaching control levels. SF-36 physical functioning scores rose from 63.5 \u00b1 8.2 to 81.3 \u00b1 7.9 (\n P<\/jats:italic>\n < 0.001). However, domains, like symptoms, sports\/recreation, social functioning, and role-emotional, remained lower than controls at six months (\n P<\/jats:italic>\n > 0.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Surgical treatment of bimalleolar ankle fractures leads to significant short-term functional improvements, with a low complication rate. While promising, continued rehabilitation beyond six months may be necessary for complete functional restoration.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/abr.abr_415_24","type":"journal-article","created":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:00:10Z","timestamp":1756378810000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Short-term Outcomes and Quality of Life Following Surgical Treatment of Bimalleolar Ankle Fractures"],"prefix":"10.4103","volume":"14","author":[{"given":"Mehdi","family":"Teimouri","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadi","family":"Ravanbod","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashkan","family":"Salehi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Shahsavan","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reza","family":"Yusofvand","sequence":"additional","affiliation":[{"name":"Department of Exceptional Talents, School of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seyyed Reza","family":"Sharifzadeh","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, School of Medicine, AJA University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akbar","family":"Hassanzadeh","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hossein","family":"Ranjbar","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,8]]},"reference":[{"key":"R1-20250829","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1007\/s11136-022-03166-3","article-title":"Ankle fractures: A systematic review of patient-reported outcome measures and their measurement properties","volume":"32","author":"Nguyen","year":"2023","journal-title":"Qual Life Res"},{"key":"R2-20250829","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12891-018-2326-x","article-title":"Epidemiology of adult ankle fractures: 1756 cases identified in Norrbotten County during 2009\u20132013 and classified according to AO\/OTA","volume":"19","author":"Juto","year":"2018","journal-title":"BMC Musculoskelet Disord"},{"key":"R3-20250829","doi-asserted-by":"crossref","first-page":"853101","DOI":"10.3389\/fsurg.2022.853101","article-title":"The global status of research in ankle fracture: A bibliometric and visualized study","volume":"9","author":"Zeng","year":"2022","journal-title":"Front Surg"},{"key":"R4-20250829","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1016\/j.cpm.2024.01.008","article-title":"Current concepts in ankle fracture management","volume":"41","author":"Patel","year":"2024","journal-title":"Clin Podiatr Med Surg"},{"key":"R5-20250829","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1186\/s13018-024-04820-x","article-title":"Clinical, functional and radiological outcome after osteosynthesis of ankle fractures using a specific provocation test","volume":"19","author":"Zimmermann","year":"2024","journal-title":"J Orthop Surg Res"},{"key":"R6-20250829","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1186\/s12891-024-07655-z","article-title":"Evidence-based clinical practice guidelines for the management of acute ankle injuries according to: A PRISMA systematic review and quality appraisal with AGREE II","volume":"25","author":"Bsoul","year":"2024","journal-title":"BMC Musculoskelet Disord"},{"key":"R7-20250829","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1053\/j.jfas.2020.03.026","article-title":"The operative treatment of ankle fractures: A 10-year retrospective study of 1529 patients","volume":"60","author":"Fenelon","year":"2021","journal-title":"J Foot Ankle Surg"},{"key":"R8-20250829","doi-asserted-by":"crossref","first-page":"387","DOI":"10.21037\/atm-23-1173","article-title":"Treatment strategies for complex ankle fractures-current developments summarized in a narrative review","volume":"11","author":"Mair","year":"2023","journal-title":"Ann Transl Med"},{"key":"R9-20250829","first-page":"740","article-title":"Functional outcome estimation of bimalleolar ankle fractures treated by open reduction and internal fixation at a tertiary care center: A descriptive cross-sectional study","volume":"58","author":"Dwivedi","year":"2020","journal-title":"JNMA J Nepal Med Assoc"},{"key":"R10-20250829","doi-asserted-by":"crossref","first-page":"7239","DOI":"10.3390\/jcm12237239","article-title":"Correlation between ankle imaging findings and self-reported outcomes: A longitudinal assessment in patients with tibiofibular diastasis","volume":"12","author":"Hosin","year":"2023","journal-title":"J Clin Med"},{"key":"R11-20250829","doi-asserted-by":"crossref","first-page":"3582","DOI":"10.1038\/s41598-024-52882-y","article-title":"Rehabilitation effect of standing bed combined with early anti-gravity running table training on ankle fracture","volume":"14","author":"Chen","year":"2024","journal-title":"Sci Rep"},{"key":"R12-20250829","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1111\/os.13621","article-title":"Short-term outcomes of enhanced recovery after surgery (ERAS) for ankle fracture patients: A single-center retrospective cohort study","volume":"15","author":"Yao","year":"2023","journal-title":"Orthop Surg"},{"key":"R13-20250829","doi-asserted-by":"crossref","first-page":"1179","DOI":"10.1177\/10711007211002811","article-title":"The foot and ankle outcome score (FAOS) during early recovery after ankle fracture","volume":"42","author":"Larsen","year":"2021","journal-title":"Foot Ankle Int"},{"key":"R14-20250829","doi-asserted-by":"crossref","first-page":"145","DOI":"10.3928\/01477447-20070201-01","article-title":"Comparison of SF-36 and short musculoskeletal functional assessment in recovery from fixation of unstable ankle fractures","volume":"30","author":"Obremskey","year":"2007","journal-title":"Orthopedics"},{"key":"R15-20250829","doi-asserted-by":"crossref","first-page":"2301","DOI":"10.1111\/os.13160","article-title":"One-third tubular plate remains a clinically good option in danis-weber type B distal fibular fracture fixation","volume":"13","author":"Ahn","year":"2021","journal-title":"Orthop Surg"},{"key":"R16-20250829","first-page":"1","article-title":"Evaluation of syndesmosis reduction after removal syndesmosis screw in ankle fracture with syndesmosis injury","volume":"2019","author":"Amouzadeh Omrani","year":"2019","journal-title":"Adv Biomed Res"},{"key":"R17-20250829","first-page":"1","article-title":"Intraoperative chertsey test, is it a reliable alternative to computed tomography scan for diagnosing syndesmotic injuries of the ankle?","volume":"2022","author":"Sayyadi","year":"2022","journal-title":"Adv Biomed Res"},{"key":"R18-20250829","doi-asserted-by":"crossref","first-page":"24730114221091806","DOI":"10.1177\/24730114221091806","article-title":"Recovery and return to activity 1 year after ankle fracture managed with open reduction and internal fixation: A prospective longitudinal cohort study","volume":"7","author":"Ramadi","year":"2022","journal-title":"Foot Ankle Orthop"},{"key":"R19-20250829","doi-asserted-by":"crossref","first-page":"101304","DOI":"10.1016\/j.conctc.2024.101304","article-title":"Comparing immediate and delayed weight bearing in patients with ankle open reduction internal fixation-A protocol for feasibility randomised controlled trial","volume":"39","author":"Mason","year":"2024","journal-title":"Contemp Clin Trials Commun"},{"key":"R20-20250829","doi-asserted-by":"crossref","first-page":"71","DOI":"10.3928\/01477447-20230804-08","article-title":"Early versus delayed weight bearing and mobilization after ankle fracture fixation surgery: A systematic review and meta-analysis of randomized controlled trials","volume":"47","author":"Tong","year":"2024","journal-title":"Orthopedics"},{"key":"R21-20250829","doi-asserted-by":"crossref","first-page":"e0118320","DOI":"10.1371\/journal.pone.0118320","article-title":"Weight-bearing and mobilization in the postoperative care of ankle fractures: A systematic review and meta-analysis of randomized controlled trials and cohort studies","volume":"10","author":"Smeeing","year":"2015","journal-title":"PLoS One"},{"key":"R22-20250829","first-page":"50","article-title":"Clinical outcomes following ankle fracture: A cross-sectional observational study","volume":"7","author":"Segal","year":"2014","journal-title":"J Foot Ankle Res"},{"key":"R23-20250829","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1097\/00005131-200201000-00007","article-title":"Change over time of SF-36 functional outcomes for operatively treated unstable ankle fractures","volume":"16","author":"Obremskey","year":"2002","journal-title":"J Orthop Trauma"},{"key":"R24-20250829","doi-asserted-by":"crossref","first-page":"1606","DOI":"10.1177\/10711007221132277","article-title":"The impacts of anxiety and depression on outcomes in foot and ankle surgery","volume":"43","author":"Shaw","year":"2022","journal-title":"Foot Ankle Int"},{"key":"R25-20250829","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1186\/s13047-022-00536-5","article-title":"Pain catastrophising, body mass index and depressive symptoms are associated with pain severity in tertiary referral orthopaedic foot\/ankle patients","volume":"15","author":"Holt","year":"2022","journal-title":"J Foot Ankle Res"},{"key":"R26-20250829","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1186\/s13047-021-00506-3","article-title":"Psychological factors associated with foot and ankle pain: A mixed methods systematic review","volume":"15","author":"Cotchett","year":"2022","journal-title":"J Foot Ankle Res"},{"key":"R27-20250829","doi-asserted-by":"crossref","first-page":"1192","DOI":"10.1177\/1071100717723133","article-title":"Association of anxiety and depression with pain and quality of life in patients with chronic foot and ankle diseases","volume":"38","author":"Nakagawa","year":"2017","journal-title":"Foot Ankle Int"},{"key":"R28-20250829","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.1177\/1071100714550648","article-title":"Psychological factors and personality traits associated with patients in chronic foot and ankle pain","volume":"35","author":"Shivarathre","year":"2014","journal-title":"Foot Ankle Int"},{"key":"R29-20250829","doi-asserted-by":"crossref","first-page":"841","DOI":"10.2519\/jospt.2014.5199","article-title":"Prognosis of physical function following ankle fracture: A systematic review with meta-analysis","volume":"44","author":"Beckenkamp","year":"2014","journal-title":"J Orthop Sports Phys Ther"},{"key":"R30-20250829","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1093\/bmb\/lds039","article-title":"Return to sports after ankle fractures: A systematic review","volume":"106","author":"Del Buono","year":"2013","journal-title":"Br Med Bull"}],"container-title":["Advanced Biomedical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/abr.abr_415_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:25:58Z","timestamp":1787837158000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/abr.abr_415_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":30,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/abr.abr_415_24","relation":{},"ISSN":["2277-9175"],"issn-type":[{"value":"2277-9175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"2024-08-27","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-10","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}