Complications in ankle fracture surgery

Ovaska, Mikko

doi:10.3109/17453674.2014.1002273

Cited by 34 publications

(25 citation statements)

References 245 publications

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“…We also observed that an ankle fracture and accompanied dislocation were not identified as risk factors for SSI occurrence, either in univariate or multivariate analyses ( P > .05), which was consistent with most previous studies . As far as we know, only 2 studies considered it a significant risk factor for SSI, and the results of both studies were obtained using univariate rather than in multivariate analyses. Therefore, we thought that the relative weak negative effect of fracture dislocation for SSI was offset by other stronger variables, such as open fractures, smoking status, and prolonged surgical duration in the multivariate analyses.…”

Section: Discussionsupporting

confidence: 90%

“…Identification of risk factors associated with DSSI after ORIF of an ankle is the prioritised task for the reduction and prevention of this issue. Previously, numerous studies were conducted to investigate the risk factors associated with surgical site infection (SSI) or DSSI after orthopaedic surgeries . However, as far as we know, only 1 study was performed to investigate the risk factors for DSSI after ankle fractures .…”

Section: Introductionmentioning

confidence: 99%

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Deep surgical site infection after ankle fractures treated by open reduction and internal fixation in adults: A retrospective case‐control study

Meng

Sun

Zhang

et al. 2018

International Wound Journal

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Information on ankle fractures is limited. The purpose of this study was to investigate the incidence and risk factors for deep surgical site infection (DSSI) after open reduction and internal fixation (ORIF). Adult patients who underwent ORIF for an ankle fractures at 3 level-I centres between January 2013 and June 2017 were included. Data on demographic, injury-related, and surgery-related variables and biochemical indexes from the laboratory were collected from patients' electronic medical records. Univariate analysis and multivariate logistic regression analysis model were used to perform the data analysis through SPSS 19.0. Within 1-year postoperatively, 2.83% (74/2617) of cases developed DSSI, with the earliest occurring at the 4th and latest at 147th day. Pseudomonas aeruginosa, methicillin-resistant Staphylococcus aureus, and methicillin-susceptible Staphylococcus aureus were the top 3 bacteria, causing 73% (37/51) of all the cases. Age (45-64 and ≥65 years), current smoking status, chronic heart disease, lower preoperative albumin level, open injury, and prolonged surgical duration were identified to be independently associated with DSSI occurrence. Preoperative active supplementation of nutrition, immediate smoking cessation, and optimisation of an operative plan for the reduction of surgical duration were feasible measures for DSSI prevention following ORIF of ankle fractures.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Deep surgical site infection after ankle fractures treated by open reduction and internal fixation in adults: A retrospective case‐control study

Meng

Sun

Zhang

et al. 2018

International Wound Journal

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“…Ankle fractures are among the most common orthopaedic operative procedures . Open reduction and internal fixation represent the gold standard for the treatment of ankle fractures . Postoperative complications following ankle fractures are not uncommon and wound edge necrosis and delayed wound healing are the most commonly observed wound complications ranging from 5,2 to 9% .…”

Section: Discussionmentioning

confidence: 99%

Coverage of exposed bone and hardware of the medial malleolus with tibialis posterior artery perforator flap after ankle fracture surgery complications

Aksan

Ertekin

et al. 2019

International Wound Journal

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Ankle fractures are among the most common orthopaedic surgical procedures. Skin‐related complications of these surgeries are difficult to reconstruct due to the inadequacy of soft tissue in the region. Although free flaps are generally considered as the first choice in reconstruction of this area, free flaps may not be a suitable option especially in patients with advanced age and comorbidities. Perforator flaps offer a fast and safe alternative in lower extremity reconstruction. In the literature, there are a limited number of studies using perforator flaps in managing the postoperative complications of the lower extremity trauma surgeries. In our study, we report our experience with reconstruction of soft‐tissue defects of medial malleolar region using posterior tibial artery perforator flap for postoperative complications of ankle fracture‐related surgeries.

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“…This significance is greater during weight bearing. [5] The most important problem related to the ANK nail is the development of fibular shortness. Previous studies on the ANK nail performed in Turkey emphasized the possible development of fibular shortness due to intramedullary fixation.…”

Section: Discussionmentioning

confidence: 99%

“…Its prevalence is approximately 1-2 per 1000 people. [1][2][3][4][5][6][7] Weber type B fractures [8] and Lauge-Hansen [9] supination external rotation injuries are the most In 1980, Dr. Kara designed an implant that enables elastic fixation, enabling a small degree of movement is accepted as a more physiological method. [13][14][15] The aim of the present study was to investigate the radiological and functional outcomes in the long-term follow-up (≥10 years) of patients who were treated with ANK nail for lateral malleolar fractures.…”

Section: Introductionmentioning

confidence: 99%

The ANK Nail Treatment of the Lateral Malleolar Fractures With Syndesmosis Injury; Clinical Outcomes at 10 Years Follow up.

Kahraman

Ceylan²,

Sonmez³

et al. 2018

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Lateral malleolar fractures associated with syndesmotic injuries are common. Various surgical implants may be used for the management of syndesmosis injury. One of these is ANK nail. The aim of the present study was to assess the clinical and radiological outcomes of patients treated with ANK nail. METHODS:Forty-eight patients who were followed up for a minimum of 10 years were reviewed retrospectively using American Orthopedic Foot and Ankle Society (AOFAS) score, radiological evaluation, and development of posttraumatic arthritis. Final data were collected at the last follow-up. RESULTS:The mean age of the patients was 37.3 (17-69) years. The mean follow-up was 129.9 (123-150) months. Twenty-two patients had Weber type B fracture, and their mean AOFAS score was 93.36 points. The remaining 26 patients had Weber type C fracture, and their mean AOFAS score was 97.66 points. There was no relationship between the type of fracture and the clinical outcome. There was a significant correlation between shortening of the fibula and posttraumatic arthritis. CONCLUSION:The ANK nail used for the management of ankle fractures may provide both fracture and syndesmosis stabilities in selected cases and is also a cost effective method as cheap as a cortical screw and a Kirschner wire.

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Complications in ankle fracture surgery

Cited by 34 publications

References 245 publications

Deep surgical site infection after ankle fractures treated by open reduction and internal fixation in adults: A retrospective case‐control study

Deep surgical site infection after ankle fractures treated by open reduction and internal fixation in adults: A retrospective case‐control study

Coverage of exposed bone and hardware of the medial malleolus with tibialis posterior artery perforator flap after ankle fracture surgery complications

The ANK Nail Treatment of the Lateral Malleolar Fractures With Syndesmosis Injury; Clinical Outcomes at 10 Years Follow up.

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