Factors Associated With Successful Closed Reduction of Dislocated Ankle Fractures at a US Level-1 Trauma Center.
Dislocated ankle fractures represent a common presenting pathology at US emergency departments, and several different procedural and anesthetic techniques are employed for attempted closed reduction of these injuries. The objective of this investigation was to evaluate the frequency of and factors a...
| Published in: | Journal of Foot & Ankle Surgery Vol. 62; no. 3; pp. 455 - 458 |
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| Main Authors: | , , , |
| Format: | research Journal Article |
| Published: |
W B Saunders
May2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=163308839&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 163308839 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10672516 2S4 jtl: Journal of Foot & Ankle Surgery issn: 10672516 maglogo: N pubinfo: dt: May2023 vid: 62 iid: 3 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 163308839 163308839 163308839 10.1053/j.jfas.2022.11.005 163308839 ppf: 455 ppct: 3 formats: tig: atl: Factors Associated With Successful Closed Reduction of Dislocated Ankle Fractures at a US Level-1 Trauma Center. aug: au: Levi, Jennifer Heineman, Katrin Sansosti, Laura E. Meyr, Andrew J. affil: Resident, Temple University Hospital Podiatric Surgical Residency Program, Philadelphia, PA sug: subj: Trauma Centers United States Ankle Fractures Surgery Fracture Dislocation Surgery Fracture Fixation Methods Treatment Outcomes Statistics and Numerical Data Human Comparative Studies United States Academic Medical Centers Medical Records Record Review Descriptive Statistics Age Factors Sex Factors Fractures, Open Fractures, Closed Anesthesia Classification ab: Dislocated ankle fractures represent a common presenting pathology at US emergency departments, and several different procedural and anesthetic techniques are employed for attempted closed reduction of these injuries. The objective of this investigation was to evaluate the frequency of and factors associated with success in the closed reduction of dislocated ankle fractures. A diagnostic code search produced 1050 ankle fractures presenting to an urban US level-1 emergency department. These medical records were interrogated and first categorized into whether or not a closed reduction was attempted. Those identified closed reduction attempts were further categorized into whether the attempt was successful. A comparative analysis was subsequently performed of variables associated with procedure success. Of the 1050, 97 (9.2%) required closed reduction and of these, 76 (78.4%) were successfully closed reduced on the first attempt. No differences were observed in initial procedure success with respect to subject age (p =.701), subject gender (p =.623), fracture laterality (p = 1.00), open versus closed injuries (p =.282), fracture mechanism (p = 1.00), utilized anesthetic technique (p value range 0.291-0.616), or the specialty performing the reduction (p -value range 0.402-1.00). A descriptive subanalysis was performed on those fractures with an unsuccessful first closed reduction attempt. It is our hope that this investigation adds to the body of knowledge with respect to a commonly performed procedure by foot and ankle surgeons. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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