![]() Poor control of diabetes 3 leads to poor outcomes. Patient Factors to Be Optimized in Treating Poor Outcomes Depending on the health of the patient, these complications may require symptomatic treatment or dressings only, as further surgery is often inadvisable in older patients. ![]() 1,2 Most of the complications are related to the quality of bone and wound healing. Less favourable outcomes in patients over age of 65 years have been reported. ![]() However, osteotomies, debridement, and fusions may benefit select patients. Cartilage defects are the most common cause in our practice. Conclusions Patients who underwent surgery during the early months of the COVID-19 pandemic did not experience prolonged time-to-surgery and had similar outcomes compared to patients treated prior to the pandemic.Ĭoronavirus disease 2019 (covid-19) orthopaedic surgery pandemic response trauma trimalleolar ankle fracture.Patients may present after an open reduction internal fixation (ORIF) with ongoing ankle pain. No significant difference in postoperative complication was seen between groups, 25.0% (8/32) COVID-19 group compared to 15.0% (15/100) 2018 group (p = 0.11). Dorsiflexion was significantly higher in the COVID-19 group at three months (p = 0.03), but not six months (p = 0.94) postoperatively. Mean visual analog scale scores, ankle strength, and ankle range of motion in plantarflexion were not significantly different between the two groups at three and six months postoperatively (p > 0.05). Time-to-surgery was not significantly different between the two groups (8.84 ± 6.78 days in COVID-19 vs 8.61 ± 6.02 days in 2018, p = 0.85). Fracture characteristics were similar between groups apart from tibiofibular syndesmosis injury, 62.5% (20/32) in COVID-19 vs 42.0% (42/100) in 2018 (p = 0.03). No significant difference was observed in group demographics and comorbidities (p > 0.05). Results COVID- groups consisted of 32 and 100 patients, respectively. Outcomes analyzed included time-to-surgery, mean visual analog scale scores, ankle strength and range of motion, and complications. Information on demographics, fracture characteristics, and outcomes was obtained through chart review. Cases were identified using Current Procedural Terminology code 27822. Materials and methods This retrospective cohort study was conducted within a single healthcare system, examining the treatment of trimalleolar ankle fractures during two distinct periods: April to July 2020 (COVID-19 group) and January to December 2018 (2018 group). We hypothesized that the pandemic group would have a prolonged time-to-surgery and worse outcomes compared to the pre-pandemic cohort. The purpose of this study was to compare time-to-surgery and outcomes of open reduction and internal fixation for trimalleolar ankle fractures during the pandemic to a pre-pandemic group. The impact of these modifications on patient outcomes remains uncertain. Numerous surgical cases were either postponed or canceled, permitting only the most critical and emergent cases to proceed. Introduction During the coronavirus disease 2019 (COVID-19) pandemic, a rapid and significant transformation in patient management occurred across the healthcare system in order to mitigate the spread of the disease and address resource constraints.
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