Chronic ankle pain risk factors in patients with ankle fracture classified with Danis Weber and AO at the Centenario Hospital Miguel Hidalgo

Abstract

Introduction: Ankle fractures are the most common bone injuries in any age group and are caused generally by a low-energy mechanism. One of the most applied classifications is Danis-Weber, which tells us about the probability of syndesmal injury. Objective: To identify the risk factors that patients with ankle fractures may present that could influence the presence of chronic ankle pain. Material and methods: A systematic review of 142 electronic medical records of patients with ankle fracture diagnosis with Danis-Weber classification from 2016 to 2019. Results: 142 patients were evaluated considering variables like Weber, treatment, medial clearance measurement, chronic pain, complication, and injury mechanism were analyzed. Statistically significant differences were obtained in the medial clearance measurement variables (p ≤0.01); patients with Weber B or C are more likely to have chronic pain (p = 0.02). Conclusions: There are risk factors for suffering from chronic ankle pain (present a Weber B or C type fracture). There is a relationship in the probability of injury to the deltoid ligament with the Danis-Weber classification.