Open ankle fractures are associated with complications and reoperations

Autor: Natasha M. Simske, BS, Megan A. Audet, MD, Chang-Yeon Kim, MD, Heather A. Vallier, MD
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: OTA International, Vol 2, Iss 4, p e042 (2019)
Druh dokumentu: article
ISSN: 2574-2167
00000000
DOI: 10.1097/OI9.0000000000000042
Popis: Abstract. Objectives:. To assess clinical and functional outcomes after open versus closed ankle fracture. Design:. Retrospective comparative study. Location:. Level 1 Trauma Center. Patients/Participants:. 1303 patients treated for ankle fractures (Weber B and C) between 2003 and 2015. One hundred sixty-five patients (12.7%) presented with open fracture and 1138 (87.3%) with closed fracture. Intervention:. Surgical or conservative management of ankle fracture. Main Outcome Measure:. Rates of complications and reoperations. Patient-reported functional outcomes were assessed with the Foot Function Index (FFI) and Short Musculoskeletal Function Assessment (SMFA), after a minimum of 12 months. Results:. Mean age was 46 years and 49% of patients were male. Higher mean age was associated with open injuries (51 vs 45 years, P 65 years occurred after ground-level fall. Complications occurred more often after open fracture (33% vs 11%) and necessitated more secondary procedures (19% vs. 7%), both P
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