Universität zu Köln

Aigner, Ren, Lechler, Philipp, Boese, Christoph Kolja, Bockmann, Benjamin, Ruchholtz, Steffen and Frink, Michael ORCID: 0000-0002-9779-0277 (2018). Standardised pre-operative diagnostics and treatment of peripheral arterial disease reduce wound complications in geriatric ankle fractures. Int. Orthop., 42 (2). S. 395 - 401. NEW YORK: SPRINGER. ISSN 1432-5195

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Abstract

Purpose The aim of this study was to evaluate a standardised algorithm to assess and treat impaired limb perfusion prior to surgical fixation of geriatric ankle fractures and determine the prevalence of peripheral arterial disease (PAD) in geriatric patients presenting with ankle fractures. Methods Eighty-four patients > 65 years pre-operatively diagnosed and treated according to an algorithm (study group) were compared with 84 patients diagnosed and treated before the algorithm was introduced (control group). Results In 14 patients of the study group, clinical noninvasive examination revealed signs of relevant PAD, which was confirmed with computed tomographic angiography (CTA) in nine patients, all of whom had successful angioplasty prior to surgical fixation of the ankle fracture. In three of these patients, PAD had previously been diagnosed. After standardised diagnostics and treatment of malperfusion, a significantly reduced overall and, particularly, wound complication rate was found. Conclusion PAD is an underdiagnosed condition in geriatric patients presenting with ankle fractures. This study underlines the relevance of limb perfusion for adequate wound healing in geriatric ankle fractures. Therefore, special attention should be paid to diagnose and-if indicated-optimise limb perfusion prior to surgical fixation of geriatric ankle fractures.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Aigner, Ren UNSPECIFIED UNSPECIFIED UNSPECIFIED Lechler, Philipp UNSPECIFIED UNSPECIFIED UNSPECIFIED Boese, Christoph Kolja UNSPECIFIED UNSPECIFIED UNSPECIFIED Bockmann, Benjamin UNSPECIFIED UNSPECIFIED UNSPECIFIED Ruchholtz, Steffen UNSPECIFIED UNSPECIFIED UNSPECIFIED Frink, Michael UNSPECIFIED orcid.org/0000-0002-9779-0277 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-198030
DOI:	10.1007/s00264-017-3705-x
Journal or Publication Title:	Int. Orthop.
Volume:	42
Number:	2
Page Range:	S. 395 - 401
Date:	2018
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1432-5195
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language OPERATIVE TREATMENT; INTERNAL-FIXATION; RISK-FACTORS; MORBIDITY Multiple languages Orthopedics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/19803