Factors Associated With Wound- and Implant-Related Complications After Surgical Treatment of Ankle Fractures

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
Diederik P J SmeeingFalco Hietbrink

Abstract

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 ...Continue Reading

Citations

Jun 6, 2019·Burns and Trauma·Biao ChengXiaobing Fu
May 8, 2020·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Daniela Barreto RochaDaniel Scott Horwitz
Sep 27, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Diederik Pieter Johan SmeeingFalco Hietbrink
Mar 9, 2021·Foot & Ankle Specialist·Benjamin D UmbelTerrence M Philbin
Apr 2, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Reinier W A SpekDetlef van der Velde
Apr 9, 2021·Bone & Joint Open·Jitendra MangwaniUNKNOWN UK FAICoN Audit Collaborative
May 4, 2021·OTA International : the Open Access Journal of Orthopaedic Trauma·Alexander S RascoeHeather A Vallier
Oct 27, 2020·Journal of Orthopaedic Trauma·Alex BenedickHeather A Vallier

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