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©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jul 18, 2023; 14(7): 554-561
Published online Jul 18, 2023. doi: 10.5312/wjo.v14.i7.554
Published online Jul 18, 2023. doi: 10.5312/wjo.v14.i7.554
Clinical outcome of open ankle fractures in patients above 70 years of age
Wajiha Zahra, Mina Seifo, David Ford, Tosan Okoro, Department of Trauma and Orthopedics, Royal Shrewsbury Hospital, Shrewsbury SY3 8XQ, United Kingdom
Paul Cool, David Ford, Tosan Okoro, Department of Trauma and Orthopedics, Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Oswestry SY10 7AG, United Kingdom
Paul Cool, Department of Trauma and Orthopedics, Keele University, Stafford ST5 5BG, United Kingdom
Author contributions: Zahra W, Seifo M, and Cool P contributed to data collection; Zahra W and Cool P contributed to data analysis; Cool P and Ford D contributed to supervision; Ford D and Okoro T contributed to project idea; Zahra W contributed to writing the manuscript and literature review; Seifo M contributed to review the manuscript; Okoro T contributed to overall supervision.
Institutional review board statement: This project is registered with the audit department of Royal Shrewsbury Hospital.
Informed consent statement: This study is registered with the local audit department and patients data has been used as per the local trust guidelines. This authorization has no expiration date.
Conflict-of-interest statement: We declare no conflict of interest.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wajiha Zahra, MBBS, MSc, Doctor, Department of Trauma and Orthopedics, Royal Shrewsbury Hospital, Mytton Oak Road, Shrewsbury SY3 8XQ, United Kingdom. wajiha.zahra@nhs.net
Received: March 26, 2023
Peer-review started: March 26, 2023
First decision: May 25, 2023
Revised: June 6, 2023
Accepted: June 16, 2023
Article in press: June 16, 2023
Published online: July 18, 2023
Processing time: 113 Days and 18.1 Hours
Peer-review started: March 26, 2023
First decision: May 25, 2023
Revised: June 6, 2023
Accepted: June 16, 2023
Article in press: June 16, 2023
Published online: July 18, 2023
Processing time: 113 Days and 18.1 Hours
Core Tip
Core Tip: There is no standard consensus on management of open ankle fractures in patients above 70 years of age. Cardiac issues are the main predictors of poor outcome. 1 in 5 patients above 70 years of age develop deep infection requiring further surgical intervention. High infection increases length of stay in the hospital and mortality.