Risk Factors for Short-Term Complication After Open Reduction and Internal Fixation of Ankle Fractures: Analysis of a Large Insurance Claims Database |
| |
| Affiliation: | 1. Associate Professor, Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, TX;2. Assistant Professor, Department of Orthopedic Surgery and Rehabilitation, University of Texas Medical Branch, Galveston, TX;3. Associate Professor, Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX;4. Medical Student, Texas A&M, College of Medicine, Bryan, TX;5. Professor, Texas A&M University, College of Medicine, Temple, TX;6. Chief, Section of Podiatry, Surgical Services, Central Texas Veterans Affairs Health Care System, Temple, TX;7. Staff, Department of Surgery, Baylor Scott & White Health, Temple, TX;1. Program Director, Cleveland VA Podiatric Medicine and Surgery Residency, Reconstructive Rearfoot/Ankle Surgery, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH;2. Chief of Surgery, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio;3. Postgraduate Year 3, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH;1. Chief Resident, Grant Medical Center, Columbus, OH;2. Resident Physician, Grant Medical Center, Columbus, OH;3. Faculty, Grant Medical Center, Columbus, OH;4. Fellowship-Trained Foot and Ankle Surgeon, Orthopedic Foot and Ankle Center, Westerville, OH;5. Residency Program Director, Grant Medical Center, Columbus, OH;1. Resident, Podiatric Medicine and Surgery Residency Program, University of Pittsburgh Medical Center Mercy, Pittsburgh, PA;2. Clinical Instructor, Department of Orthopedics at Wake Forest University, Winston-Salem, NC;3. Chief, Division of Podiatry Surgical Service Line, Surgical Service Line VA Pittsburgh Health System, Pittsburgh, PA;4. Clinical Instructor, Department of Orthopedics University of Pittsburgh Medical Center, Pittsburgh, PA;5. Director and Assistant Professor, Podiatric Medicine and Surgery Residency, University of Pittsburgh Medical Center Mercy, Department of Orthopedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA;1. Professor, Texas A&M University, College of Medicine, Temple, TX;2. Chief, Section of Podiatry, Surgical Services, Central Texas Veterans Healthcare System, Temple, TX;3. Staff, Baylor Scott and White Healthcare System, Temple, TX;4. Podiatric Medicine and Surgery Resident, Scott and White Healthcare System, Texas A&M Health Science Center, Temple, TX;5. Associate Professor, Department of Preventive Medicine and Community Health, The University of Texas Medical Branch, Galveston, TX |
| |
| Abstract: | Although fractures of the ankle are common injuries treated by surgical podiatrists and orthopaedic surgeons specializing in foot and ankle surgery, postoperative complications can occur, often imposing an economic burden on the patient. As health care in the United States moves toward value-based care, cost reduction has primarily focused on reducing complications and unplanned episodes of care. We used a large modern database of insurance claims to examine patterns of complications after open reduction internal fixation of ankle fractures, identifying diabetes mellitus and history of myocardial infarction as risk factors for postoperative infection within 30 days of surgery. Lateral malleolar repair was less likely to lead to infection, or need for repeated surgery, than was medial malleolar fracture repair. Diabetes mellitus, neuropathy, and chronic obstructive pulmonary disease were associated with development of postoperative cellulitis. Patients with a history of cerebrovascular accident were more likely to return to the emergency department or to have a pulmonary embolism. Male sex, presence of lupus, and increased age were associated with repeat surgery. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
