Related Experiment Video
Updated: Mar 4, 2026
09:01
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
12.5K
Preoperative Risk Factors for Complications in Elective Ankle and Hindfoot Reconstruction
Ryan P Mulligan1,2, Kevin J McCarthy1,2, Benjamin J Grear1,2
1Campbell Clinic, Department of Orthopaedic Surgery & Biomedical Engineering, University of Tennessee, Memphis, Tennessee (RPM, BJG, DRR, SNI, GAM).
Foot & Ankle Specialist
|April 21, 2017
Summary
Alcohol and narcotic use increase complication risks after foot and ankle reconstruction. Smoking is linked to wound infections, highlighting the need for pre-operative patient counseling.
Area of Science:
- Orthopedic Surgery
- Patient Outcomes Research
Background:
- Foot and ankle reconstruction is a common orthopedic procedure.
- Identifying factors influencing surgical outcomes is crucial for patient care.
Purpose of the Study:
- To investigate medical, social, and psychological factors impacting complications and reoperation rates following elective foot and ankle reconstruction.
Main Methods:
- Retrospective chart review of 132 patients (135 feet) undergoing elective foot and ankle reconstruction.
- Data collected on medical, social, and psychological variables.
- Complications and reoperations were primary outcome measures.
Main Results:
- Overall complication rate was 28%; reoperation rate was 17%.
- Alcohol use and preoperative narcotic use were significant risk factors for complications.
- Tobacco use was associated with increased risk of deep infection; older age correlated with lower reoperation rates.
Conclusions:
- Preoperative alcohol and narcotic use increase complication risk in foot and ankle surgery.
- Smoking is linked to higher rates of wound infection.
- Surgeons should counsel patients on these risk factors prior to surgery.
Related Concept Videos
01:23Peripheral Artery Disease V: Postoperative Nursing Management
480
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
480
01:22Aneurysm IV: Nursing Management
552
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
552
01:28Cardiac Catheterization I: Pre-Procedure Overview
1.8K
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
1.8K
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
405
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
405
01:26Kidney Transplant II: Surgical Procedure
579
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
579