Abstract：
Although the ankle is often involved in low energy trauma, high-energy trauma may occur, being this considered more serious and more common of affecting young and active men. The purpose of the present study was to evaluate and compare the functionality, pain and quality of life of active and inactive adult individuals whose ankle fracture was surgically treated. Seventy-six patients split into two groups (active, n = 58 X inactive, n = 18), of the men (active, n = 38; inactive, n = 9) and women (active, n = 20; inactive, n = 9) gender participated in this prospective study. The IPAQ, MMSE, SF-36, VAS, sociodemographic and clinical questionnaires were applied in person right after surgery. The SF-36 and VAS questionnaires were reapplied 3 months in average after the surgery. Active and inactive patients of both genders show significant differences (p ≤ 0.05) in the functional capacity and physical aspect domains; and the bodily pain domain revealed significant difference in active and inactive men (p ≤ 0.05) between the periods post-surgical and 3 months after surgery (on average). Moderate and significant correlations were found (p ≤ 0.05) between functional capacity, physical aspect and bodily pain domains of the SF-36 and the VAS pain scores for active and inactive patients of both genders in the final follow-up period. Other significant correlations (p < 0.05) for inactive men (physical aspect and bodily pain) and inactive women (functional capacity and bodily pain) are observed (after 3 months of surgery). Three months after surgery (on average), active and inactive men had functional limitations and pain symptoms. These factors seem to have negatively influenced the patient\'s social involvement, worsening their quality of life. Most active and inactive patients had a positive self-perception of their general health status, emotional aspects and mental health domains. Regarding active women, we observed lower energy and vitality after the same postoperative period.
摘要：
虽然踝关节常发生低能量创伤,可能会发生高能创伤，这被认为是更严重和更常见的影响年轻和活跃的男性。本研究的目的是评估和比较功能，疼痛和生活质量的活跃和不活跃的成年人的踝关节骨折的手术治疗。76名患者分为两组(活动期，n=58X非活动，n=18),男人(活跃的，n=38；不活跃，n=9）和女性（活跃，n=20；不活跃，n=9)性别参与了这项前瞻性研究。IPAQ,MMSE,SF-36,VAS,术后立即对患者进行社会人口统计学和临床问卷调查。术后平均3个月重新使用SF-36和VAS问卷。两种性别的活跃和不活跃患者在功能能力和身体方面领域均显示出显着差异（p≤0.05）；身体疼痛领域显示，在术后和术后3个月（平均）之间，活跃和不活跃的男性之间存在显着差异（p≤0.05）。发现功能容量之间存在中等和显著的相关性(p≤0.05)，在最后的随访期间，两种性别的活跃和不活跃患者的SF-36的身体方面和身体疼痛域以及VAS疼痛评分。观察到不活跃男性(身体方面和身体疼痛)和不活跃女性(功能能力和身体疼痛)的其他显著相关性(p<0.05)(手术3个月后)。手术后三个月（平均），活跃和不活跃的男性存在功能受限和疼痛症状.这些因素似乎对患者的社会参与产生了负面影响，提高他们的生活质量。大多数活跃和不活跃的患者对他们的总体健康状况有积极的自我认知，情绪方面和心理健康领域。关于活跃的女性，术后相同时间后，我们观察到能量和活力降低。
