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Related Experiment Video

Updated: Jun 23, 2025

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
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Open Ankle Fractures in Older Individuals: A Multi-center Study.

Kristen Nathe1, Yianni Bakaes2, Alec M Giakas3

  • 1Prisma Health Midlands Department of Orthopaedic Surgery, Columbia, SC.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|June 23, 2024
PubMed
Summary

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This summary is machine-generated.

Open ankle fractures in older adults lead to high amputation and mortality rates. Male gender, fracture type, older age, and diabetes are key predictors of poor outcomes.

Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Geriatric Medicine

Background:

  • Open ankle fractures present unique challenges in older populations.
  • Understanding risk factors and outcomes is crucial for geriatric trauma care.

Purpose of the Study:

  • To identify demographics, etiology, comorbidities, treatment, complications, and outcomes for older patients (≥60 years) with open ankle fractures.
  • To determine independent predictors of postoperative amputation and 1-year mortality.

Main Methods:

  • Retrospective review of 162 patients (≥60 years) with open ankle fractures from 6 Level 1 trauma centers (2004-2014).
  • Univariate and multivariate logistic regression analyses were used to identify predictors of amputation and mortality.

Main Results:

Keywords:
amputationcomplicationsmechanismmortalityolder individualsopen ankle fracture

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  • Ground-level falls were the most common injury mechanism (51.9%). Bimalleolar (52.5%) and trimalleolar (26.5%) fractures were most frequent.
  • Complications included superficial infection (15.4%), deep infection (9.9%), and amputation (9.3%). 1-year mortality was 13.6%, overall mortality 25.9%.
  • Male gender and fracture type predicted amputation. Older age and diabetes predicted 1-year mortality.

Conclusions:

  • Open ankle fractures in older individuals are associated with significant rates of amputation and mortality.
  • Early identification of risk factors is essential for improving patient management and outcomes.