Fenelon Christopher, Murphy Evelyn P, Galbraith John G, Kearns Stephen R
Department of Orthopaedic Surgery, Galway University Hospital, Galway, Ireland.
Foot Ankle Surg. 2019 Aug;25(4):546-549. doi: 10.1016/j.fas.2018.05.006. Epub 2018 May 29.
Ankle fractures account for 9% of all fractures and 40% require surgical management. The ankle is the most common site of hardware removal. The purpose of our study was to investigate the incidence, indication and economic cost associated with removal of hardware from the ankle.
We conducted a ten-year retrospective review of 1482 patients treated by open reduction internal fixation for an unstable ankle fracture. Skeletally immature patients were excluded. Data collected was cross referenced from patient medical records, the radiological and electronic patient database. The casemix and hospital inpatient enquiry system (HIPE) were used to calculate costs.
The mean age was 39.9 years with 53.6% male. 185 patients (12.5%) underwent hardware removal with unplanned removal performed in 6% of cases. The average cost of removal was €1113.
Removal of hardware continues to be a common operation with significant costs to all involved. More than one in 10 patients underwent future removal of hardware.
Level 3.
踝关节骨折占所有骨折的9%，其中40%需要手术治疗。踝关节是取出内固定物最常见的部位。我们研究的目的是调查踝关节取出内固定物的发生率、适应证及经济成本。
我们对1482例因不稳定踝关节骨折接受切开复位内固定治疗的患者进行了为期十年的回顾性研究。排除骨骼未成熟的患者。收集的数据来自患者病历、放射学和电子患者数据库，并相互对照。使用病例组合和医院住院患者查询系统（HIPE）计算成本。
平均年龄为39.9岁，男性占53.6%。185例患者（12.5%）接受了内固定物取出术，其中6%为非计划取出。取出内固定物的平均成本为1113欧元。
取出内固定物仍然是一种常见的手术，对所有相关方来说成本都很高。超过十分之一的患者将来需要取出内固定物。
3级。
