The timing of closed unstable ankle fracture fixation and major wound complications - an observation from a UK major trauma centre.
| Autor: | Lee C; Royal Sussex County Hospital, Brighton, England., Iliopoulos E; Royal Sussex County Hospital, Brighton, England., Yousaf S; Epsom and St Helier Hospital, London, England. |
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| Jazyk: | angličtina |
| Zdroj: | JPMA. The Journal of the Pakistan Medical Association [J Pak Med Assoc] 2021 Aug; Vol. 71(Suppl 5) (8), pp. S26-S31. |
| Abstrakt: | Objective: A retrospective cohort study was performed at a UK major trauma centre to identify whether timing of surgical fixation of closed unstable ankle fracture affected the rate of major wound complications. Methods: Consecutive cases of unstable ankle fractures treated with open reduction internal fixation (ORIF) between March 2014 to December 2016 were included in this retrospective cohort study. Data were collected from 2018 onwards allowing a minimum follow-up of 2 years. Patients under the age of 18, polytrauma, open fractures and those requiring external fixation were excluded. Timing of ORIF were categorised into early (within 24 hours of injury) and delayed (after 24 hours of injury). Primary outcome was major soft tissue complications (defined as deep wound infections or wound breakdown that required further surgery). Secondary outcomes included fixation failure, and symptomatic metal work requiring removal. Results: A total of 235 consecutive cases were included. There were 108(46%) patients in the early fixation group, and 127(54%) patients in the delayed fixation group. Seven major wound complications were identified. Five of which were in the early group, and 2 in the late group. There was no statistically significant difference in the major wound complication rates between the early and delayed surgery groups (p = 1.000). Conclusions: No significant difference was observed in the rate of major soft tissue complications between early and delayed fixation for isolated unstable ankle fractures. |
| Databáze: | MEDLINE |
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