Predictors of Adverse Events for Ankle Fractures: An Analysis of 6800 Patients

Dodd, Ashley C.; Lakomkin, Nikita; Attum, Basem; Bulka, Catherine M.; Karhade, Aditya V.; Douleh, Diana G.; Mir, Hassan R.; Jahangir, A. Alex; Obremskey, William T.; Sethi, Manish K.

doi:10.1053/j.jfas.2016.03.010

Cited by 33 publications

(23 citation statements)

References 26 publications

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“…A total readmission rate of 3.2% was found [16]. These results are supported by Dodd et al and Varenne et al who found the risk factors driving postoperative complications to be an increasing age (respectively >65 and >80 years), obesity, diabetes, ASA score > 2, and functional status [17, 18]. …”

Section: Introductionmentioning

confidence: 78%

Management of Osteoporotic and Neuropathic Ankle Fractures in the Elderly

2017

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Purpose of ReviewTreatment of osteoporotic and neuropathic ankle fractures in the elderly is challenging. The purpose of this paper is to review recent publications on this topic and to identify the optimal treatment for these fractures.Recent FindingsTreatment consists of a variety of conservative or operative options all with advantages and disadvantages as described in this review. Little research has been published that specifically focuses on elderly patients with ankle fractures. Operative treatment has a high complication rate. Multiple comorbidities are predictors for complications.SummaryAn optimal treatment could not be distilled but based on the available literature, a general treatment algorithm is proposed. Since the elderly typically are accompanied by multiple comorbidities as well as impaired mobility, the physician should focus not only on treating the fractured ankle but also on the patient as a whole. Further research on this specific topic is needed.

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Section: Introductionmentioning

confidence: 78%

Management of Osteoporotic and Neuropathic Ankle Fractures in the Elderly

2017

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“…External fixators already play a fundamental role in the local damage control of ankle fracture dislocations not only to promote stabilization and comfort to the patient but also to improve soft tissue healing while waiting for definitive fixation [3,11,12,16,[24][25][26].…”

Section: Discussionmentioning

confidence: 99%

A new approach to local DCO in ankle fracture dislocations: external fixation with diaphyseal unicortical screws applied by local anaesthesia

et al. 2017

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The procedure of monocortical diaphyseal application in bridging external fixation is comparable to the conventional transcalcaneal traction maintaining the advantage in terms of speediness, independence from anaesthetists and feasibility within few minutes from hospital admittance even in patients under anticoagulants therapy, but increasing the stability of the reduction and improving the quality of nursing (so-called portable traction).

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“…There is a well-established association between increasing BMI and the probability of sustaining a musculoskeletal injury, including certain types of fractures [8]. Furthermore, several retrospective studies have identifi ed an increased risk of postoperative complications for fractures involving the ankle, tibia, femur, humerus and pelvis [7,[9][10][11][12][13][14][15]. However, the literature regarding the clinical outcomes of hospitalized obese trauma patients who sustain fractures is limited despite the increasing prevalence of obesity among this population.…”

Section: Introductionmentioning

confidence: 99%