The Wait Time for Surgery Following Injury Affects Functional Outcomes and Complications After an Ankle Fracture: A Propensity Score-Matched Multicenter Study, the TRON Study.

Foot & ankle specialist Pub Date : 2024-12-01 Epub Date: 2023-04-15 DOI:10.1177/19386400231164211

Takayuki Sugino, Yasuhiko Takegami, Kosuke Bando, Toshifumi Sato, Tomoki Fujita, Yoshiharu Oka, Shiro Imagama

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Abstract

Background: The present study aimed to evaluate the hypothesis that a 1-week extension of the waiting period to perform surgery for ankle fracture might affect postoperative results and complications.

Methods: We used our multicenter database named TRON (Trauma Research Group of Nagoya). In all, 779 patients who underwent surgery for ankle fracture, who had no comorbidities were eligible. After exclusion, we analyzed 596 patients. We divided the patients into 2 groups according to whether they were operated on within 7 days after the injury with propensity score matching.

Results: The operative time of the delayed operation group (DO group) was significantly longer than that of the early operation group (EO group) (115.87 ± 56.59 vs 85.93 ± 34.58 minutes; P < .001). The rate of infection in the DO group was significantly higher than that of the EO group (16 patients [6.5%] vs 4 patients [1.6%]; P = .016).

Conclusion: Waiting for more than a week to perform ankle surgery may lead to longer operative times and increased infection rates.

Levels of evidence: III.

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受伤后等待手术的时间影响踝关节骨折后的功能结果和并发症：倾向评分匹配多中心研究--TRON研究》。

研究背景本研究旨在评估踝关节骨折手术等待期延长一周可能会影响术后效果和并发症的假设：我们使用了名为 TRON（名古屋创伤研究小组）的多中心数据库。共有 779 名无合并症的踝关节骨折手术患者符合条件。经过排除，我们对 596 名患者进行了分析。我们根据患者是否在受伤后 7 天内进行手术，将其分为两组，并进行倾向评分匹配：结果：延迟手术组（DO 组）的手术时间明显长于早期手术组（EO 组）（115.87 ± 56.59 vs 85.93 ± 34.58 分钟；P < .001）。DO组的感染率明显高于EO组（16例患者[6.5%] vs 4例患者[1.6%]；P = .016）：结论：等待一周以上再进行踝关节手术可能会导致手术时间延长和感染率增加：证据等级：III.

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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Foot & ankle specialist

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