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Isolated implant removal cited as most common reoperation procedure after ankle ORIF
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Results showed most intermediate-term reoperations after ankle open reduction and internal fixation were due to isolated implant removal.
Daniel Pincus, MD, and colleagues investigated intermediate-term reoperation rates following ankle open reduction and internal fixation (ORIF) among 45,444 patients. Reasons for reoperation included implant removal and isolation, repeat ORIF, irrigation and debridement (I&D) for infection, or amputation.
Results showed 19.6% of patients underwent at least one subsequent operation, with the most common procedure being isolated implant removal (18.1%). Researchers found women had higher odds for isolated implant removal. According to results, 1.5% of patients underwent reoperation for either repeat ORIF for single- or multiple-malleolus fractures or I&D for infection. Researchers noted patients with open fractures had greater odds for repeat ORIF and I&D, while patients with diabetes had the highest odds for amputation.
“Among 45,444 patients between 1994 and 2011 who underwent ankle ORIF performed by 710 different surgeons at 202 hospitals in Ontario, Canada, isolated implant removal accounted for the vast majority of intermediate-term reoperations,” Pincus told Healio.com/Orthopedics. “Reoperation for other reasons (repeat ORIF, I&D or amputation) was rare, even among the highest risk patients. Concerns regarding reoperation for these reasons should not preclude operative treatment in any patient, provider or injury group considered.” — by Casey Tingle
Disclosures: The researchers report no relevant financial disclosures.
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