Academic Journal
Outcome After Treatment of Distal Fibula Fractures Using One-Third Tubular Plate, Locking Compression Plate or Distal Anatomical Locking Compression Plate
| العنوان: | Outcome After Treatment of Distal Fibula Fractures Using One-Third Tubular Plate, Locking Compression Plate or Distal Anatomical Locking Compression Plate |
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| المؤلفون: | Giver Jensen, Thomas, Aqeel Khudhair Almadareb, Mostafa, Booth Nielsen, Maria, Jesper Hansen, Emil, Lindberg-Larsen, Martin |
| المصدر: | Giver Jensen , T , Aqeel Khudhair Almadareb , M , Booth Nielsen , M , Jesper Hansen , E & Lindberg-Larsen , M 2023 , ' Outcome After Treatment of Distal Fibula Fractures Using One-Third Tubular Plate, Locking Compression Plate or Distal Anatomical Locking Compression Plate ' , Journal of Foot and Ankle Surgery , vol. 62 , no. 3 , pp. 524-528 . https://doi.org/10.1053/j.jfas.2022.12.008 |
| سنة النشر: | 2023 |
| المجموعة: | University of Southern Denmark: Research Output / Syddansk Universitet |
| مصطلحات موضوعية: | complications, fibula fracture, infection, lateral malleolar fracture, operative treatment, reoperation, surgical site infections |
| Time: | 3 |
| الوصف: | Surgical treatment of lateral distal fibula fractures is associated with high risk of reoperation and complications. The primary aim was to report risks of surgical site infection (SSI) and reoperation ≤1 year after treatment with one-third tubular plate, locking compression plate (LCP) or distal anatomical LCP. Secondary to investigate associations between patient, fracture and operative factors and risk of SSI and reoperation. Retrospectively, we evaluated a consecutive cohort of 588 patients having osteosynthesis of distal fibula with a one-third tubular plate (n = 417), LCP (n = 115) or distal anatomical LCP plate (n = 56) at Bispebjerg Hospital, Denmark from January 2010 to December 2015 with 1-year follow-up. The risk of SSI was 15% (95% confidence interval [CI] 12-18) after treatment with one-third tubular plate, 30% (95% CI 23-39) after LCP and 41% (95% CI 29-54) after distal anatomical LCP. We found a significant association of SSI and LCP (p = .005) and distal anatomical LCP (p < .001). Other factors associated with increased risk of SSI were age>70 years (p < .001), smoking (p = .004), DM (p = .007), surgery time ≥90 minutes (p = .006) and surgery delay of 3-6 days (p = .007). The risk of reoperation ≤1 year was 10% (95% CI 6-11) for one-third tubular plate, 21% (95% CI 14-29) for LCP and 25% (95% CI 16-38) for distal anatomical LCP. We found a significant association between distal anatomical LCP and risk of reoperation (p = .008). The only other risk factor associated with risk of reoperation was surgery delay of more than 7 days (p = .004). We conclude that LCP plate and the distal anatomical LCP plate should only be used after careful considerations. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| DOI: | 10.1053/j.jfas.2022.12.008 |
| الاتاحة: | https://portal.findresearcher.sdu.dk/da/publications/d41dd413-6800-4021-9794-9623d6fa655c https://doi.org/10.1053/j.jfas.2022.12.008 https://findresearcher.sdu.dk/ws/files/228186686/1_s2.0_S1067251622003775_main.pdf |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.C4DC3474 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1053/j.jfas.2022.12.008 |
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