Differences in Classification Between Mono- and Polytrauma and Low- and High-Energy Trauma Patients With an Ankle Fracture : A Retrospective Cohort Study
| Autor: | Luke P. H. Leenen, Marcel G. W. Dijkgraaf, Egbert J M M Verleisdonk, Roderick M. Houwert, Diederik P.J. Smeeing, Falco Hietbrink, Jan Paul Briet |
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| Přispěvatelé: | APH - Methodology, Clinical Research Unit |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty High energy Ankle Fractures Supination ankle fracture 03 medical and health sciences Injury Severity Score 0302 clinical medicine ankle Journal Article Humans Medicine Lauge-Hansen Pronation Orthopedics and Sports Medicine monotrauma polytrauma Aged Retrospective Studies 030222 orthopedics Multiple Trauma business.industry Incidence (epidemiology) 030208 emergency & critical care medicine Retrospective cohort study Middle Aged medicine.disease Triage Polytrauma Surgery medicine.anatomical_structure Female Body region Ankle business |
| Zdroj: | The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons, 56(4), 793. Academic Press Inc. Journal of foot and ankle surgery, 56(4), 793-796. Academic Press Inc. |
| ISSN: | 1067-2516 |
| Popis: | Although fracture type and treatment options for ankle fractures are well defined, the differences between mono- and polytrauma patients and low- and high-energy trauma have not been addressed. The aim of the present study was to compare the fracture type and trauma mechanism between mono- and polytrauma and low- and high-energy trauma patients with an ankle fracture. We performed a single-center retrospective cohort study. Fractures were classified according to the Lauge-Hansen classification and a descriptive classification. High-energy trauma (HET) was defined using triage criteria. All other patients were classified as having experienced low-energy trauma (LET). The patients were divided into 2 groups according to the injury severity score (155). Monotrauma patients were defined as patients with an ISS of 4 to 11 with an isolated ankle fracture or an ankle fracture with a minor contusion or laceration. Polytrauma patients were defined as patients with an ISS of >= 16 with >= 2 body regions involved. Patients with an ISS from 12 to 15 were excluded. A total of 96 patients were eligible for analysis. Of the 96 patients, 62 had experienced monotrauma and 34 had experienced polytrauma. A significant difference was found between the mono- and polytrauma patients in the Lauge-Hansen classification (p |
| Databáze: | OpenAIRE |
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