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Titolo:
The influence of the timing of surgery on soft tissue complications and hospital stay - A review of 84 closed ankle fractures
Autore:
Hoiness, P; Stromsoe, K;
Indirizzi:
Ullevaal Univ Hosp, Dept Orthopaed Surg, N-4050 Oslo, Norway Ullevaal UnivHosp Oslo Norway N-4050 rthopaed Surg, N-4050 Oslo, Norway
Titolo Testata:
ANNALES CHIRURGIAE ET GYNAECOLOGIAE
fascicolo: 1, volume: 89, anno: 2000,
pagine: 6 - 9
SICI:
0355-9521(2000)89:1<6:TIOTTO>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Keywords:
ankle fracture(-s); complication(-s); infection(-s); hospital stay;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Hoiness, P Ullevaal Univ Hosp, Dept Orthopaed Surg, N-4050 Oslo, Norway Ullevaal Univ Hosp Oslo Norway N-4050 rg, N-4050 Oslo, Norway
Citazione:
P. Hoiness e K. Stromsoe, "The influence of the timing of surgery on soft tissue complications and hospital stay - A review of 84 closed ankle fractures", ANN CHIR GY, 89(1), 2000, pp. 6-9

Abstract

Background and Aims: Open reduction and internal fixation of an extensively swollen ankle may lead to wound closure problems, blistering, wound edge necrosis and infection. Accordingly, internal fixation should be accomplished either before or after the period of critical soft tissue swelling. The object of the study was to investigate if the timing of surgery had any influence upon soft tissue complications and hospital stay. Patients and Methods: The clinical course of the first 6 postoperative weeks of 84 closed ankle fractures treated by open reduction and internal fixation were reviewed. Seventeen patients were not operated on early due to lack of operative capacity and were thus operated on after 5 days or more, These patients were compared to the patients operated on within 8 hours (n = 67). The groups were comparable with respect to age, gender and fracture types. Results: Despite a higher incidence of primary soft tissue injuries in theearly group, the patients operated on delayed had a higher incidence of wound infections (17.6 % vs. 3.0 %) and hospital stay was prolonged with 12.4days compared to early surgery. All wound infections were found in grosslydisplaced fractures despite adequate closed reduction immediately after arrival in the hospital. Conclusions: Delayed surgery of closed ankle fractures increases the risk of soft tissue complications and prolongs hospital stay. Immediate surgery is particularly indicated in the severely displaced ankle fracture, and if not achievable, temporary reduction and immobilization is recommended.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 14/07/20 alle ore 09:54:44