Complication Rates Following Open Reduction and Internal Fixation of Ankle Fractures

SooHoo, Nelson F.; Krenek, Lucie; Eagan, Michael; Gurbani, Barkha; Ko, Clifford Y.; Zingmond, David S.

doi:10.2106/jbjs.h.00653

Cited by 372 publications

(327 citation statements)

References 20 publications

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“…31 Although there are no previous reports identifying hypertension as a risk factor for deep infection in operatively treated pilon fractures, a recent literature report identified an association between peripheral vascular disease and surgical site infection in operatively treated ankle fractures. 32 Possible confounders such as variable antihypertensive therapeutic regimens, antiplatelet therapy and varying degrees of severity of disease may be possible confounders.…”

Section: Discussionmentioning

confidence: 99%

Risk factors of deep infection in operatively treated pilon fractures (AO/OTA: 43)

Molina¹,

Stinner²,

Fras³

et al. 2015

Journal of Orthopaedics

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Section: Discussionmentioning

confidence: 99%

Risk factors of deep infection in operatively treated pilon fractures (AO/OTA: 43)

Molina¹,

Stinner²,

Fras³

et al. 2015

Journal of Orthopaedics

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“…The overall complication rate following ORIF of ankle fractures varies considerably in the literature ranging from 1% to 40% [22] . In our study it was 21.8 percent.…”

Section: Complicationsmentioning

confidence: 99%

“…SSI is the most common complication following ankle fracture surgery. The incidence of SSI following operative treatment of ankle fractures varies considerably in the literature, ranging from 1.4% to 5.5% [22] . In our study it was 7.29 %.…”

Section: Complicationsmentioning

confidence: 99%

“…A large population-based study conducted by Soohoo et al 2009 [22] noted that open injuries, diabetes, old age, Weber C were strong risk factors predicting a complicated short-term postoperative course [24][25] . [26] .…”

Section: Patients At Higher Risk For Postoperative Complicationsmentioning

confidence: 99%

“…[26] . A study of 57,183 surgically treated ankle fracture patients conducted by Soohoo et al in 2009 [22] reported that diabetes is a strong predictor of short-term complications. In our study 40 % of patients who encountered with complications were diabetic leading to financial burden due to longer hospital stay.…”

Section: Patients At Higher Risk For Postoperative Complicationsmentioning

confidence: 99%

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A retrospective study of functional outcome of surgically managed malleolar fracture at the ankle joint by subjective, objective and radiological assessment

Sultanpurkar¹,

Haranadh²,

Vikram³

et al. 2017

Int. J. Orthop. Sci.

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Objective: To study the functional outcome of surgically managed malleolar fractures at ankle and to assess the results of complication. Introduction: Ankle fracture is a common injury with potentially significant morbidity associated with it. Regardless of the method of the intervention, main goal is to restore normal anatomy. Complications associated with both conservative and operative management are an important consideration in decision making. Patient selection is very important in deciding the type of management. This paper provides an update to surgical management of ankle fractures. Methodology: Medical records of 96 patients were studied and data was collected which includes the demographic data, fracture details, intraoperative and postoperative details. Then patients were called up for follow-up. The functional outcome of these patients was assessed subjectively using OLERUD MOLANDER ANKLE SCORE (OMA) score. Objective and radiological outcome was assessed using cedell's criteria. Results: Among the 96 patients we achieved excellent and good subjective results in 60 (62.5%) patients; Good objective result in 72 (75%) patients; Good radiographic results in 80 (83.4%) patients. In our study, patients with unimalleolar fractures had the best outcome. Trimalleolar fractures had the worst outcome. Bimalleolar fracture had intermediate outcome. With regards to lateral malleolar fracture fixation modality, patients with rush nail achieved good to fair radiological and objective outcome with no poor outcomes With regards to medial malleolar fracture fixation modality, patients with Tension band achieved good objective and radiological outcome and there were no poor outcomes. In patients with malleolar screw fixation 62.5 % patients achieved good objective and 75 % patients achieved good radiological outcome. Patients with complications has poorer outcome. In patients with superficial infection the outcome was poorer.

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Surgical versus conservative interventions for treating ankle fractures in adults

Donken

Al-Khateeb²,

Verhofstad

et al. 2010

Cochrane Database of Systematic Reviews

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Background The annual incidence of ankle fractures is 122 per 100,000 people. They usually affect young men and older women. The question of whether surgery or conservative treatment should be used for ankle fractures remains controversial. Objectives To assess the effects of surgical versus conservative interventions for treating ankle fractures in adults. Search methods We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials (The Cochrane Library, 2012 Issue 1), MEDLINE, EMBASE, CINAHL and the WHO International Clinical Trials Registry Platform and Current Controlled Trials. Date of last search: 6 February 2012. Selection criteria Randomised and quasi-randomised controlled clinical studies comparing surgical and conservative treatments for ankle fractures in adults were included. Data collection and analysis Two review authors independently performed study selection, risk of bias assessment and data extraction. Authors of the included studies were contacted to obtain original data. Main results Three randomised controlled trials and one quasi-randomised controlled trial were included. These involved a total of 292 participants with ankle fractures. All studies were at high risk of bias from lack of blinding. Additionally, loss to follow-up or inappropriate exclusion of participants put two trials at high risk of attrition bias. The trials used different and incompatible outcome measures for assessing 1 Surgical versus conservative interventions for treating ankle fractures in adults (Review)

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Complication Rates Following Open Reduction and Internal Fixation of Ankle Fractures

Cited by 372 publications

References 20 publications

Risk factors of deep infection in operatively treated pilon fractures (AO/OTA: 43)

Risk factors of deep infection in operatively treated pilon fractures (AO/OTA: 43)

A retrospective study of functional outcome of surgically managed malleolar fracture at the ankle joint by subjective, objective and radiological assessment

Surgical versus conservative interventions for treating ankle fractures in adults

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