Risk factors for surgical site infection following operative ankle fracture fixation
Ankle fracture is a common injury and there is an increasingly greater emphasis on operative fixation.
The purpose of the study was to determine the complication rate in this cohort of patients and, in doing so, determine risk factors which predispose to surgical site infection.
A prospective cohort study was performed at a tertiary referral trauma center examining risk factors for surgical site infection in operatively treated ankle fractures.
Univariate and multivariate analysis was performed. Female gender and advancing age were determined to be the risk factors in univariate analysis. Drain usage and peri-operative pyrexia were found to be significant for infection in multivariate analysis.
This study allows surgeons to identify those at increased risk of infection and counsel them appropriately. It also allows for a high level of vigilance with regard to soft tissue handling intra-operatively in this higher risk group.
KeywordsAnkle Fracture Infection Risk factors Open reduction internal fixation
Conflict of interest
- 1.Sporer SM, Weinstein JN, Koval KJ (2006) The geographic incidence and treatment variation of common fractures of elderly patients. J Am Academy of Orthop Surg 14(4):246–255Google Scholar
- 14.Anderson SA, Li X, Franklin P, Wixted JJ (2008) Ankle fractures in the elderly: initial and long-term outcomes. Foot & ankle international/American Orthopaedic Foot and Ankle Society (and) Swiss Foot and Ankle. Society 29(12):1184–1188Google Scholar