The Impact of Surgical Timing After Ankle Fracture on Clinical and Long-Term Patient Reported Outcomes

• DOI: 10.1177/2473011423s00070
• Publication Date: 2023-12-23T09:11:31Z
• Authors: Matthew J. McCrosson; Mila Scheinberg; Thomas Sanchez; Ashish Shah
• Keywords: Interquartile range; Patient-reported outcome; Medical record

Category: Trauma; Ankle Introduction/Purpose: The goal of this study is to evaluate the effect time-to-surgery following closed ankle fractures on long- term patient reported outcomes, fracture healing, and wound complications. To date, little research has been done focusing impact “time definitive fixation” outcomes. Methods: We performed a retrospective analysis 215 records who underwent open reduction internal fixation (ORIF) for an from July 2011 2018. A total 86 patients completed outcome measurement information systems (PROMIS) survey at long follow up. Primary outcomes were rate delayed union, postoperative complications, Patient Reported Outcome Measurement Information System Pain Interference (PI), Physical Function (PF) scores. Results: No differences found when comparing time surgery continuous scale with rates nonunion, or complications (p=0.84, 0.47, 0.63, respectively). PROMIS scores collected median 4.5 years (2.0 interquartile range (IQR), Range 2.5 12.3) postoperatively. was independently associated worse PI (Unstandardized β .38, 95% CI 0.07 0.68) but not PF Severe Lauge- Hansen injuries decreased -7.02, -12.0 -2.04). Increased surgical intervention severe Lauge long-term Surgical timing did union Conclusion: Surgeons should be aware that delaying repair beyond 12 days after injury may negatively affect pain