Open and closed ankle fracture treatment in Japanese nonagenarians and octogenarians: Mortality, surgical site infections and readmissions.

IF 1.9 3区医学 Q2 ORTHOPEDICS

Foot and Ankle Surgery Pub Date : 2025-04-19 DOI:10.1016/j.fas.2025.04.003

Takahisa Ogawa, Haggai Schermann, Claude Picard, Kiyohide Fushimi, Toshitaka Yoshii

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引用次数: 0

Abstract

Background: Several publications have suggested that elderly patients with open ankle fractures may have grave prognosis in terms of mortality, similarly to elderly patients with hip fractures. In this study we evaluated the effect of open ankle fractures on patient mortality in elderly population, including octogenarians and nonagenarians.

Methods: This retrospective cohort included all patients above the age of 60 treated in Japan public emergency care hospitals between the years 2010 and 2018. Patients with lateral malleolus, medial malleolus, bimalleolar, trimalleolar and pilon fractures were included. The outcomes were mortality, length of hospital stay, surgical site infections and readmissions within one year.

Results: There was a total of 6766 patients ages above 60, of whom 6062 had closed fractures and 704 had open fractures. Open fractures were not associated with higher mortality than closed fractures. Patients with open fractures stayed in the hospital for longer time (median of 51 vs 37 days, p < 0.001), had higher rate of surgical site infections (5.3 % vs 1.7 %, p < 0.001) and a lower rate of readmissions (2.6 % vs 6.2 %, p < 0.001).

Conclusion: The study shows that elderly patients with open ankle fractures are hospitalized for longer time and experience a higher rate of surgical site infections. However, they do not experience excess short-term mortality in this study setting.

Level of evidence: IV (non-experimental study).

查看原文本刊更多论文

日本90多岁和80多岁老人开放性和闭合性踝关节骨折的治疗：死亡率、手术部位感染和再入院率。

背景：一些出版物表明，老年开放性踝关节骨折患者在死亡率方面可能有严重的预后，类似于老年髋部骨折患者。在这项研究中，我们评估了开放性踝关节骨折对老年患者死亡率的影响，包括80多岁和90多岁老人。方法：本回顾性队列包括2010年至2018年期间在日本公立急救医院接受治疗的所有60岁以上患者。包括外踝、内踝、双踝、三踝和鞍部骨折患者。结果是死亡率、住院时间、手术部位感染和一年内再入院。结果：60岁以上患者6766例，其中闭合性骨折6062例，开放性骨折704例。开放性骨折的死亡率并不比闭合性骨折高。开放性骨折患者住院时间较长（中位数为51天vs 37天，p ）结论：老年开放性踝关节骨折患者住院时间较长，手术部位感染率较高。然而，在这项研究中，他们并没有经历过多的短期死亡率。证据等级：IV（非实验研究）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.