Predictors of Postoperative Complications of Ilizarov External Ring Fixators in the Foot and Ankle

Lee C. Rogers; Nicholas J. Bevilacqua; Robert G. Frykberg; David G. Armstrong

doi:10.1053/j.jfas.2007.06.004

Predictors of Postoperative Complications of Ilizarov External Ring Fixators in the Foot and Ankle

Lee C. Rogers, Nicholas J. Bevilacqua, Robert G. Frykberg, David G. Armstrong

Surgery

Research output: Contribution to journal › Article › peer-review

47 Scopus citations

Abstract

Our objective was to determine factors associated with complications of Ilizarov external ring fixator surgery for foot and ankle disorders in persons with diabetes mellitus. We reviewed the records of patients who underwent Charcot foot reconstruction or soft tissue offloading surgery over 1 year at a single institution. We compared the association of serious pin tract infection, pin fracture, and surgical wound dehiscence with the patient age, weight, duration device was used, preoperative glucose, preoperative hemoglobin, tourniquet time, and total operating time. Fifteen patients (16 limbs) underwent reconstructive surgery. Younger age, elevated preoperative glucose, and lengthy tourniquet times were associated with complications (P = .03). These data demonstrate that 2 modifiable factors (preoperative hyperglycemia and tourniquet time) predict complications and should be mitigated to lower risk.

Original language	English (US)
Pages (from-to)	372-375
Number of pages	4
Journal	Journal of Foot and Ankle Surgery
Volume	46
Issue number	5
DOIs	https://doi.org/10.1053/j.jfas.2007.06.004
State	Published - Sep 2007

Keywords

Charcot's joint
Ilizarov method
ankle
foot
postoperative complications

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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title = "Predictors of Postoperative Complications of Ilizarov External Ring Fixators in the Foot and Ankle",

abstract = "Our objective was to determine factors associated with complications of Ilizarov external ring fixator surgery for foot and ankle disorders in persons with diabetes mellitus. We reviewed the records of patients who underwent Charcot foot reconstruction or soft tissue offloading surgery over 1 year at a single institution. We compared the association of serious pin tract infection, pin fracture, and surgical wound dehiscence with the patient age, weight, duration device was used, preoperative glucose, preoperative hemoglobin, tourniquet time, and total operating time. Fifteen patients (16 limbs) underwent reconstructive surgery. Younger age, elevated preoperative glucose, and lengthy tourniquet times were associated with complications (P = .03). These data demonstrate that 2 modifiable factors (preoperative hyperglycemia and tourniquet time) predict complications and should be mitigated to lower risk.",

keywords = "Charcot's joint, Ilizarov method, ankle, foot, postoperative complications",

author = "Rogers, {Lee C.} and Bevilacqua, {Nicholas J.} and Frykberg, {Robert G.} and Armstrong, {David G.}",

note = "Funding Information: L. C. R. and N. J. B. have previously received fellowship support from Small Bone Innovations (New York, NY). No device company was involved in the preparation of the article. Copyright: Copyright 2008 Elsevier B.V., All rights reserved.",

year = "2007",

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doi = "10.1053/j.jfas.2007.06.004",

language = "English (US)",

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AU - Bevilacqua, Nicholas J.

AU - Frykberg, Robert G.

AU - Armstrong, David G.

N1 - Funding Information: L. C. R. and N. J. B. have previously received fellowship support from Small Bone Innovations (New York, NY). No device company was involved in the preparation of the article. Copyright: Copyright 2008 Elsevier B.V., All rights reserved.

PY - 2007/9

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N2 - Our objective was to determine factors associated with complications of Ilizarov external ring fixator surgery for foot and ankle disorders in persons with diabetes mellitus. We reviewed the records of patients who underwent Charcot foot reconstruction or soft tissue offloading surgery over 1 year at a single institution. We compared the association of serious pin tract infection, pin fracture, and surgical wound dehiscence with the patient age, weight, duration device was used, preoperative glucose, preoperative hemoglobin, tourniquet time, and total operating time. Fifteen patients (16 limbs) underwent reconstructive surgery. Younger age, elevated preoperative glucose, and lengthy tourniquet times were associated with complications (P = .03). These data demonstrate that 2 modifiable factors (preoperative hyperglycemia and tourniquet time) predict complications and should be mitigated to lower risk.

AB - Our objective was to determine factors associated with complications of Ilizarov external ring fixator surgery for foot and ankle disorders in persons with diabetes mellitus. We reviewed the records of patients who underwent Charcot foot reconstruction or soft tissue offloading surgery over 1 year at a single institution. We compared the association of serious pin tract infection, pin fracture, and surgical wound dehiscence with the patient age, weight, duration device was used, preoperative glucose, preoperative hemoglobin, tourniquet time, and total operating time. Fifteen patients (16 limbs) underwent reconstructive surgery. Younger age, elevated preoperative glucose, and lengthy tourniquet times were associated with complications (P = .03). These data demonstrate that 2 modifiable factors (preoperative hyperglycemia and tourniquet time) predict complications and should be mitigated to lower risk.

KW - Charcot's joint

KW - Ilizarov method

KW - ankle

KW - foot

KW - postoperative complications

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Predictors of Postoperative Complications of Ilizarov External Ring Fixators in the Foot and Ankle

Abstract

Keywords

ASJC Scopus subject areas

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