التفاصيل البيبلوغرافية
| العنوان: |
Factors Associated With Wound- and Implant-Related Complications After Surgical Treatment of Ankle Fractures. |
| المؤلفون: |
Smeeing, Diederik P.J., Briet, Jan P., van Kessel, Charlotte S., Segers, Michiel M., Verleisdonk, Egbert J., Leenen, Luke P.H., Houwert, Roderick M., Hietbrink, Falco |
| المصدر: |
Journal of Foot & Ankle Surgery; Sep2018, Vol. 57 Issue 5, p942-947, 6p |
| مستخلص: |
We have described the epidemiology of complications after surgical treatment of ankle fractures and assessed which factors are associated with the most frequent complications. We conducted a retrospective cohort study at 2 level 2 and 1 level 1 trauma center in a single trauma region in the Netherlands. The study variables were collected from the electronic medical patient records; all ankle fractures were classified using the Lauge-Hansen classification, and the complications were recorded. A total of 989 patients were included from 3 hospitals, with 173 complications in 156 patients (15.8%). The most frequent complication was wound related, occurring in 101 patients (10.2%). Implant-related complications occurred in 44 patients (4.4%). Other complications, such as cast pressure spots, posttraumatic dystrophy, nonunion, impingement, and pneumonia occurred in 28 patients (2.8%). The 2 most important complications were further analyzed for risk factors. Multivariate analysis showed the risk factors for wound-related complications were advanced age, increased American Society of Anesthesiologists classification, smoking, right side symptomatic, open fracture, and initial external fixation. Most implant-related complications were caused by malreduction (n = 22) or untreated syndesmotic injury (n = 19). Malreduction was associated with supination eversion fractures ( p = .059), and untreated syndesmotic injury occurred more often with pronation external rotation fractures ( p < .001). The most frequent complications after ankle fracture surgery were wound- and implant-related complications. Postoperative wound-related complications were multifactorial and dependent on a combination of trauma-, patient-, and treatment-related factors. In contrast, implant-related complications resulted from the interaction between the fracture type and subsequent surgical treatment. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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