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Category:   Ankle; Ankle Arthritis; TraumaIntroduction/Purpose:   Patients have begun to utilize social media networking sites to discuss their individual experiences with medical care. Social media as an adjunct tool to measure patient satisfaction, progress, and long-term rehabilitation after orthopaedic procedures may hold future promise. The purpose of this study was to investigate social media posts regarding pilon fractures and their relationship to patient injury perception.Methods:   We evaluated Instagram media posts in patients who have suffered pilon fractures for the following variables: gender, tone, discussion of rehabilitation, activities of daily living (ADL) reference, incision/scar reference, pain, post of radiograph/imaging, external fixation reference, discussion of bracing/splinting, pre or post-operative swelling, and need for reoperation. In total, 241 patient posts were included for investigation and analysis of patient injury perception via social media.Results:   Of all included posts, 88% of posts had a positive tone. A majority of the posts (66.8%) mentioned rehabilitation and post-operative progress. There were significant associations between positive tone and rehabilitation (p=0.0001), as well as positive tone and Activities of Daily Living (ADLs) (p=0.0361).Conclusion:   Outcomes after surgical management of pilon fractures are generally poor. Nonetheless, this analysis of patients sharing their experience on social media after ORIF of pilon fractures demonstrates a mostly positive attitude toward the injury and recovery. A positive tone of the post was significantly associated with mentions of rehabilitation and ADLs.

Instagram and Pilon Fractures: An Analysis of Social Media and its Relationship to Patient Injury Perception