التفاصيل البيبلوغرافية
| العنوان: |
Safety and Outcomes of Early Fixation in Patients who Suffered an Ankle Fracture |
| المؤلفون: |
Shah, Ashish, Hawkins, Jacob, Alexander, Bradley, Agarwal, Abhinav, Cage, Benjamin B., Greco, Elise M., Barranco, Hannah M., Patel, Akshar |
| المصدر: |
Foot & Ankle Orthopaedics ; volume 5, issue 4, page 2473011420S0043 ; ISSN 2473-0114 2473-0114 |
| بيانات النشر: |
SAGE Publications |
| سنة النشر: |
2020 |
| الوصف: |
Category: Ankle Introduction/Purpose: Ankle fractures are a common injury in the United States leading to increased ER visits and healthcare costs. Additionally, these injuries normally lead to prolonged immobilization that can make it difficult for patients to return to work and normal activities. By optimizing fracture healing and decreasing the amount of time to union patients can avoid the frustration of prolonged immobilization and return to daily activities more quickly. It is believed that early surgical fixation of ankle fractures can lead to wound complications while late fixation can lead to issues with reduction during surgical intervention. This study was undertaken to determine if there is a difference in wound complication and time to union between early and late fracture fixation. Methods: From July of 2008 to June of 2018, a retrospective chart review of 321 patients who underwent ankle fracture corrected with ORIF was performed at a single institution. Patients with pilon fractures, poly trauma, open fractures, or less than 3 months of follow up time were excluded from our study. After exclusion were made there was 232 patients remaining. All patients were then stratified by time to surgery after injury and injury classification. The cohorts were surgery within 2 days with 31 patients, surgery within 7 days with 69 patients, and patients that had surgery after 8 days (132). The patients were also stratified according to the Lauge-Hansen classification. The cohorts were PA, PER, SA, and SER. Results: The average time to union for patients who were operated on within 2 days of injury was 108.48 days, 106.52 days for patients operated on between 3-7 days, and 97.59 days for patients operated on after 7 days. Wound complications were highest in the cohort operated on within 2 days at 9.6%. Patients operated on between 3 and 7 days had the lowest rate of wound complications at 2.8%/. Patients with an SER Lauge-Hansen classification has the fastest time to union at 94.04 days and individuals with an ... |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
English |
| DOI: |
10.1177/2473011420s00433 |
| DOI: |
10.1177/2473011420S00433 |
| الإتاحة: |
https://doi.org/10.1177/2473011420s00433Test |
| حقوق: |
https://creativecommons.org/licenses/by-nc/4.0Test/ |
| رقم الانضمام: |
edsbas.142F36B4 |
| قاعدة البيانات: |
BASE |
