Open Ankle Fractures in Older Individuals: A Multi-center Study

Here are the Open Ankle Fractures in Older Individuals: A Multi-center Study journals presenting the latest research across various disciplines. From social sciences to technology, each article is expected to provide valuable insights to our readers.

Open ankle fractures in older individuals at each end of the age, open ankle fractures in older individuals acquire, open ankle fractures in older individuals a multiversal timeline, open ankle fractures, open fractures, open ankle fractures in older individuals and societies, open ankle fractures in older individuals a multidimensional approach.

Open Ankle Fractures in Older Individuals: A Multi-center Study

The purpose of this study is to identify demographics, etiology, comorbidities, treatment, complications, and outcomes for older patients with open ankle fractures. Patients ≥60 years old who sustained an open ankle fracture between January 1, 2004 and March 31, 2014 at 6 Level 1 trauma centers were retrospectively reviewed. Univariate analysis using chi-squared or Student's t test was performed to identify associations between preoperative variables and 2 postoperative outcomes of interest: amputation and 1-year mortality. Multivariate analysis was performed using stepwise logistical regression to identify independent predictors of postoperative amputation and 1-year mortality. Of the 162 total patients, the most common mechanism of injury was a ground-level fall (51.9%). The most common fracture types were bimalleolar fractures (52.5%) followed by trimalleolar fractures (26.5%), with 41.5% of the fractures classified as Gustilo Anderson Classification Type 2 and 38.6% cla ssified as Type 3A. The average number of surgeries required per patient was 2.1. Complications included: 15.4% superficial infection rate, 9.9% deep infection rate, and 9.3% amputation rate. The 1-year mortality rate was 13.6% and the overall mortality rate was 25.9%. Male gender and fracture type were found to be independent predictors for amputation after surgery (p = .009, .005, respectively). Older age and having diabetes were independent predictors for 1-year mortality after surgery (p = .021, .005 respectively). Overall, open ankle fractures in older individuals were associated with high rates of amputation and mortality. © 2024 the American College of Foot and Ankle Surgeons

Authors : Nathe K.; Bakaes Y.; Giakas A.M.; Kung J.; Gauthier C.; Grabowski G.; Smoker B.; Boguski J.; Toole W.; Elliott M.; Van Eck C.F.; Bowman E.; Townsend C.; Jackson J.B.

Source : Academic Press Inc.