Operative Fixation of Ankle Fractures: The Effect of Time to Surgery on Length of Stay and Soft Tissue Complication Rates
|Yasmine Kamhieh, Dimitra Leivadiotou*, Dimitrios Manoukian and William Williams|
|Broomfield Hospital, Chelmsford, Essex, UK|
|Corresponding Author :||Dimitra Leivadiotou
Broomfield Hospital, Chelmsford
Tel: +44 1245 36200
E-mail: [email protected]
|Received August 04, 2015; Accepted September 19, 2015; Published September 27, 2015|
|Citation: Kamhieh Y, Leivadiotou D, Manoukian D, Williams W (2015) Operative Fixation of Ankle Fractures: The Effect of Time to Surgery on Length of Stay and Soft Tissue Complication Rates. J Trauma Treat 4:261. doi:10.4172/2167-1222.1000261|
|Copyright: © 2015 Kamhieh Y, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
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Introduction: There is little evidence consensus on the optimum timing for surgical fixation of closed ankle fractures. This powered study compared rates of soft tissue complications in patients operated on within 24 hrs, at 24-48 hrs, or beyond 48 hours from injury.
Materials and Methods: In this retrospective study, N=160 adults with closed ankle fractures were categorised by time to surgery (<24 hrs, 24-48 hrs, and >48 hrs), and post-operative complication rates were compared (power 0.85).
Results: Soft tissue complications were higher following surgery at 24-48 hrs (15%) vs. surgery after 48 hrs (3.6%), P 0.051. There was no other significant difference in any complication rates. The length of hospital stay postoperatively did not differ between groups.
Conclusion: Surgery within 24-48 hours from injury resulted in higher rates of minor soft tissue complications. Further research is necessary to confirm these findings, and to quantify soft tissue swelling and its effect on postoperative complications.