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Factors associated with successful closed reduction of dislocated ankle fractures at a US level-1 trauma center

  • Author Footnotes
    # Co-authors: TUSPM Department of Surgery, 2nd Floor, 148 N. 8th Street, Philadelphia, PA 19107, Phone: 215 707-5750, Fax: 215 707-5805
    Jennifer Levi
    Footnotes
    # Co-authors: TUSPM Department of Surgery, 2nd Floor, 148 N. 8th Street, Philadelphia, PA 19107, Phone: 215 707-5750, Fax: 215 707-5805
    Affiliations
    Resident, Temple University Hospital Podiatric Surgical Residency Program, Philadelphia, Pennsylvania, USA
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  • Author Footnotes
    # Co-authors: TUSPM Department of Surgery, 2nd Floor, 148 N. 8th Street, Philadelphia, PA 19107, Phone: 215 707-5750, Fax: 215 707-5805
    Katrin Heineman
    Footnotes
    # Co-authors: TUSPM Department of Surgery, 2nd Floor, 148 N. 8th Street, Philadelphia, PA 19107, Phone: 215 707-5750, Fax: 215 707-5805
    Affiliations
    Resident, Temple University Hospital Podiatric Surgical Residency Program, Philadelphia, Pennsylvania, USA
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  • Laura E. Sansosti
    Affiliations
    Clinical Assistant Professor, Department of Podiatric Surgery, Temple University School of Podiatric Medicine, Philadelphia, Pennsylvania, USA
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  • Andrew J. Meyr
    Correspondence
    Corresponding author: Andy Meyr, TUSPM Department of Surgery, 2nd Floor, 148 N. 8th Street, Philadelphia, PA 19107, Phone: 215 777-5750, Fax: 215 777-5805
    Affiliations
    Clinical Professor, Department of Podiatric Surgery, Temple University School of Podiatric Medicine, Philadelphia, Pennsylvania, USA
    Search for articles by this author
  • Author Footnotes
    # Co-authors: TUSPM Department of Surgery, 2nd Floor, 148 N. 8th Street, Philadelphia, PA 19107, Phone: 215 707-5750, Fax: 215 707-5805
Published:November 20, 2022DOI:https://doi.org/10.1053/j.jfas.2022.11.005

      Abstract

      Dislocated ankle fractures represent a common presenting pathology at US emergency departments, and several different procedural and anesthetic techniques are employed for attempted closed reduction of these injuries. The objective of this investigation was to evaluate the frequency of and factors associated with success in the closed reduction of dislocated ankle fractures. A diagnostic code search produced 1,050 ankle fractures presenting to an urban US level-1 emergency department. These medical records were interrogated and first categorized into whether or not a closed reduction was attempted. Those identified closed reduction attempts were further categorized into whether the attempt was successful. A comparative analysis was subsequently performed of variables associated with procedure success. Of the 1050, 97 (9.2%) required closed reduction and of these, 76 (78.4%) were successfully closed reduced on the first attempt. No differences were observed in initial procedure success with respect to subject age (p=0.701), subject gender (p=0.623), fracture laterality (p=1.00), open vs. closed injuries (p=0.282), fracture mechanism (p=1.00), utilized anesthetic technique (p-value range 0.291-0.616), or the specialty performing the reduction (p-value range 0.402-1.00). A descriptive subanalysis was performed on those fractures with an unsuccessful first closed reduction attempt. It is our hope that this investigation adds to the body of knowledge with respect to a commonly performed procedure by foot and ankle surgeons.

      Level of Clinical Evidence

      : 3

      Keywords

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