Published online Dec 18, 2021. doi: 10.5312/wjo.v12.i12.1001
Peer-review started: January 29, 2021
First decision: March 31, 2021
Revised: April 13, 2021
Accepted: October 20, 2021
Article in press: October 20, 2021
Published online: December 18, 2021
Processing time: 319 Days and 1.1 Hours
The national rates of readmission and reoperation after open reduction internal fixation (ORIF) of midshaft clavicle fractures in adolescents is unknown.
To determine rates of and risk factors for readmission and reoperation after ORIF of midshaft clavicle fractures in adolescents.
This retrospective study utilized data from the Healthcare Cost and Utilization Project State Inpatient Database for California and Florida and included 11728 patients 10–18 years of age that underwent ORIF of midshaft clavicle fracture between 2005 and 2012. Readmissions within ninety days, reoperations within two years, and differences in patient demographic factors were determined through descriptive, univariate, and multivariate analyses.
In total, 3.29% (n = 11) of patients were readmitted within 90 d to a hospital at an average of 18.91 ± 18 d after discharge, while 15.87% (n = 53) of patients underwent a reoperation within two years at an average of 209.53 ± 151 d since the index surgery. The most common reason for readmission was a postoperative infection (n < 10). Reasons for reoperation included implant removal (n = 49) at an average time of 202.39 ± 138 d after surgery, and revision ORIF (n < 10) with an average time of 297 ± 289 d after index surgery. The odds of reoperation were higher for females (P < 0.01) and outpatients (P < 0.01), while the odds of reoperation were lower for patients who underwent surgery in California (P = 0.02).
There is a low rate of readmission and a high rate of reoperation after ORIF for midshaft clavicle fractures in adolescents. There are significant differences for reoperation based on patient sex, location, and hospital type.
Core Tip: There is a low rate of readmission and a high rate of reoperation after open reduction internal fixation for midshaft clavicle fractures in adolescents. There are significant differences for reoperation based on patient sex, location, and hospital type.