CME OnDemand: 2022 AOFAS Annual Meeting-Association of Bleeding Disorders and Risk of Complications Following Open Reduction and Internal Fixation of the Ankle

Association of Bleeding Disorders and Risk of Complications Following Open Reduction and Internal Fixation of the Ankle

Video Transcription

Video Summary

In this video, Lisa Moscow, a medical student at George Washington University, presents a project on the association of bleeding disorders with complications following open reduction, internal fixation of the ankle. Ankle fractures are divided into high-impact fractures seen in young and athletic patients, and low-energy fractures seen in the elderly. The most common surgical procedure for ankle fractures is open reduction, internal fixation. Previous studies have identified risk factors such as diabetes, peripheral vascular disease, and osteoporosis for post-operative complications. However, the impact of bleeding disorders on outcomes following surgery for ankle fractures has not been studied. The study aims to determine the post-operative complication rate, need for transfusion, readmission, and length of stay in patients with bleeding disorders compared to those without. Data from the National Surgical Quality Improvement Program database was analyzed for patients who underwent ankle surgery between 2006 and 2018. The study found that patients with bleeding disorders had a higher risk of post-operative complications, blood transfusion requirement, and extended hospital stay (>5 days). By identifying these risk factors, a more personalized preoperative and perioperative plan can be developed to optimize patient outcomes and reduce healthcare costs.

Asset Subtitle

Alisa Malyavko, MS, Theodore Quan, BS, William T. Stoll, MD, Joseph E. Manzi, BS, Alex Gu, MD, Sean Tabaie, MD, Benjamin E. Stein, MD

Keywords

bleeding disorders

ankle fractures

post-operative complications

transfusion

patient outcomes