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Two-Stage Surgery for the Malleolar Fracture−Dislocation With Severe Soft Tissue Injuries Does Not Affect the Functional ResultsTanoğlu, OğuzhanGökgöz, Mehmet BurakÖzmeriç, AhmetAlemdaroğlu, Kadir Bahadır3bimalleolar ankle fracturesblisteredemaexternal fixatorsfracture dislocationsoft tissue injuriesAdultAnkle InjuriesAnkle JointFemaleFracture FixationHumansMaleMiddle AgedTreatment Outcomealcohol consumptionArticleclinical articlecomorbiditydemographydislocationfollow uphospitalizationhumanmalleolus fractureorthopedic surgerypostoperative complicationscoring systemsoft tissue injurySoft tissue injuries associated with malleolar fracture−dislocations may increase postoperative rates of wound complication. Ankle-spanning frame plays a fundamental role in the local damage control orthopedics while gaining time for definitive surgery. The objective of this study was to evaluate the effect of a 2-stage surgery for the unstable malleolar fracture−dislocations with severe soft tissue injuries compared to a 1-stage surgery in terms of the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot−ankle and Olerud-Molander ankle scores (OMAS). We analyzed 45 patients who met our study criteria. The patients were divided into 2 groups according to staged surgeries. Demographic data of patients, comorbidities, alcohol and tobacco use, Tscherne soft tissue injury scores, the AOFAS hindfoot−ankle and OMAS, postoperative complications, total hospitalization times, waiting time between stages, and waiting time from admission to surgery times were investigated. There was a statistically significant difference between the groups in terms of the mean total hospitalization times (p =.007), waiting time from admission to surgery (p <.001), gender (p =.005), and Tscherne soft tissue injury scores (p <.001). The mean AOFAS hindfoot−ankle and OMAS of the groups did not differ statistically at a minimum of 12 months of the follow-up period (p =.094 and p =.126, respectively). A 2-stage surgery can be performed safely in the carefully selected patients with the unstable malleolar fracture−dislocations with Tscherne grades 2 and 3 soft tissue injuries, and this surgery does not affect the postoperative AOFAS hindfoot−ankle and OMAS statistically compared to a 1-stage surgery at a minimum of 12 months of the follow-up period. © 2018 the American College of Foot and Ankle SurgeonsAcademic Press Inc.2019Articlehttps://rdlopen.rawdatalibrary.net/r/ebyu/13739https://doi.org/10.1053/j.jfas.2018.11.0331067-2516enJournal of Foot and Ankle Surgeryinfo:eu-repo/semantics/openAccessinfo:eu-repo/semantics/articlehttps://ebyu-rdlopen.rawdatalibrary.net/tr/items/ebyu/13739