Comparison of Skeletal Traction and Splinting as a Temporary Stabilization Method in the Initial Treatment of Ankle Fracture-Dislocations

Objective: We aim to compare of effectiveness, functional results, and complication rates of splinting and skeletal traction at initial management of ankle fracture-dislocations.

Methods: Patients who applied for ankle fracture-dislocation between 2013 and 2021, who could not be treated with acute definitive surgery, and who underwent short leg splint or calcaneal skeletal traction in the period up to definitive surgery were evaluated retrospectively. Of the 84 patients included in the study, 48 (57%) were followed up with short leg splint and 36 (43%) with calcaneal skeletal traction. Comparisons between groups were made by collecting demographic data, waiting time until surgery, and preoperative and postoperative complications. In addition, the American Orthopedic Foot and Ankle Association score was used to evaluate functional outcomes.

Results: The rate of loss of reduction was significantly higher in those who underwent calcaneal skeletal traction (P=.034). The number of patients who developed skin necrosis in the period until definitive surgery was higher in those who underwent calcaneal skeletal traction (P=.048). When the ankle range of motion was evaluated in the postoperative follow-up period, the number of patients with limited range of motion was significantly higher in those who underwent calcaneal skeletal traction (P=.012). No significant correlation was found between the postoperative 12th month American Orthopedic Foot and Ankle Association scoring and the temporary stabilization method.

Conclusion: There was a significant increase in reduction loss, skin necrosis development rate, and limitation in postoperative joint range of motion in the preoperative period compared to short leg splint in patients who underwent calcaneal skeletal traction as a temporary stabilization method in ankle fracturedislocation patients

Cite this article as: Karagöz B, Oral RM, Keçeci, T, Çukurlu M, Adıyeke L. Comparison of skeletal traction and splinting as a temporary stabilization method in the initial treatment of ankle fracture-dislocations. Arch Basic Clin Res 2022;4(3):132-138.