ankle surgery open reduction internal fixation

#ANKLE SURGERY OPEN REDUCTION INTERNAL FIXATION INSTALL#

Patients with tobacco use (alone or with cannabis) were at greater odds of 90-day adverse events following ankle fracture ORIF, but cannabis only users were not.Īnkle fracture cannabis use postoperative outcomes tobacco use. A recent study conducted at the Northwestern University Feinberg School of Medicine in Chicago, Illinois compared inpatient and outpatient open reduction internal fixation (ORIF) for non-emergency ankle fractures. Cannabis only users were not at greater odds of 90-day adverse events relative to nonusers. Tobacco and cannabis comorbid users were at a marginally higher odds of 90-day UTI (OR 2.82), minor adverse events (OR 2.51), readmissions (OR 2.39), and any adverse events (OR 2.22). On multivariable analyses, isolated tobacco users were at higher odds of 90-day urinary tract infections (UTIs) (odds ratio 2.64), minor adverse events (OR 2.33), all-cause adverse events (OR 2.17), readmissions (OR 1.85), and severe adverse events (OR 1.84).

Ninety-day adverse events were assessed between matched subcohorts with multivariable logistic regression controlling for age, sex, and ECI.Ī total of 149 289 patients met study inclusion criteria for whom tobacco only use was documented for 14 989 (10.0%), tobacco and cannabis use for 2726 (1.8%), and cannabis only use for 867 (0.6%). Subcohorts without and with cannabis and/or tobacco use were identified based on coding and matched based on patient age, sex, and Elixhauser Comorbidity Index (ECI) scores to yield groups of nonusers, tobacco users, tobacco and cannabis users, and cannabis users. Retrospective database study of adult patients undergoing ankle ORIF for closed, isolated, ankle fractures from the 2010-2021 Q1 PearlDiver M151 data set.

Although the negative impact of tobacco use on perioperative outcomes of ankle fracture ORIF has been described, the potential impact of cannabis use on related outcomes is not as well established. Implants are compatible with the body and rarely cause an allergic reaction.Ankle fractures are common orthopaedic injuries that may be indicated for open reduction internal fixation (ORIF). If a joint is to be replaced, rather than fixed, these implants can also be made of cobalt and chrome. The implants used for internal fixation are made from stainless steel and titanium, which are durable and strong. Internal fixation allows shorter hospital stays, enables patients to return to function earlier, and reduces the incidence of nonunion (improper healing) and malunion (healing in improper position) of broken bones. The parties agreed to a 1,000,000 mediated settlement. They are held together with special implants, such as plates, screws, nails and wires. The injury was treated via open reduction and internal fixation and she underwent total replacement of the ankle. The advent of sterile surgical procedures reduced the risk of infection, allowing doctors to internally set and stabilize fractured bones.ĭuring a surgical procedure to set a fracture, the bone fragments are first repositioned (reduced) into their normal alignment.

Until the last century, physicians relied on casts and splints to support and stabilize the bone from outside the body.

#ANKLE SURGERY OPEN REDUCTION INTERNAL FIXATION INSTALL#

They might also install metal plates, wires, or screws to keep your ankle bones stable while the bones heal. In ORIF, surgeons open up your injured ankle and line up the ends of your broken bones. A broken bone must be carefully stabilized and supported until it is strong enough to handle the body's weight and movement. Severe ankle fractures will be treated with open reduction internal fixation (ORIF) surgery.

Ankle surgery open reduction internal fixation