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Table 1 Overall

From: Modern anatomical locking plates are associated with increased postoperative wound complications and unplanned surgical revisions compared to standard tubular plates in the management of unstable ankle fractures: a comparative cohort study in 595 patients

  

Overall

(n = 595)

Third tubular plate

(n = 526)

Locking plate

(n = 69)

p-value

Age [years], mean ± std

 

54.39 ± 18.69

52.16 ± 18.21

71.41 ± 12.59

< 0.001a

Sex, n (%)

m

f

238 (40.0)

357 (60.0)

221 (42.0)

305 (58.0)

17 (24.6)

52 (75.4)

0.006b

BMI [kg/m²],

median (max; min)

 

26.90 (55.9;16.2)

26.90 (55.9; 16.2)

27.04 (43.3; 18.0)

0.355c

AO/OTA, n (%)

44 A

44B

44 C

25 (4.2)

469 (78.8)

101 (17.0)

23 (4.4)

413 (78.5)

90 (17.1)

2 (2.9)

56 (81.2)

11 (15.9)

0.811b

Type of ankle fracture,

n (%)

unimalleolar

bimalleolar

trimalleolar

277 (46.6)

110 (18.5)

208 (35.0)

257 (48.9)

92 (17.5)

177 (33.7)

20 (29.0)

18 (26.1)

31 (44.9)

0.007b

Open fracture, n (%)

 

16 (2.7)

11 (2.1)

5 (7.2)

0.029b

ASA-Score, mean ± std

1

2

3

4

117 (21.8)

312 (58.1)

105 (19.6)

3 (0.6)

115 (24.1)

279 (58.5)

80 (16.8)

3 (0.6)

2 (3.3)

33 (55.0)

25 (41.7)

0 (0.0)

< 0.001b

External fixator, n (%)

 

84 (14.1)

68 (12.9)

16 (23.2)

0.021b

Comorbidity, n (%)

Diabetes mellitus

Peripheral Artery Disease

Smoking

Arterial hypertension

Osteoporosis

Alcohol abuse

78 (13.1)

13 (2.2)

152 (25.5)

262 (44.0)

62 (10.4)

43 (7.2)

52 (9.9)

11 (2.1)

140 (26.6)

210 (39.9)

40 (7.6)

37 (7.0)

26 (37.7)

2 (2.9)

12 (17.4)

52 (75.4)

22 (31.9)

6 (8.7)

< 0.001b

0.655b

0.099b

< 0.001b

< 0.001b

0.620b

Time to definitive surgery [days],

median (max; min)

 

6 (49; 0)

6 (49; 0)

4 (26; 0)

< 0.001c

Day of the week, n (%)

Mo

Tu

We

Th

Fr

Sa

Su

128 (21.5)

86 (14.5)

111 (18.7)

82 (13.8)

147 (24.7)

23 (3.9)

18 (3.0)

111 (21.1)

73 (13.9)

103 (19.6)

72 (13.7)

131 (24.9)

19 (3.6)

17 (3.2)

17 (24.6)

13 (18.8)

8 (11.6)

10 (14.5)

16 (23.2)

4 (5.8)

1 (1.4)

0.547b

Time of surgery, n (%)

8 am − 4 pm

4 pm − 0 pm

0 am − 8 am

420 (70.6)

167 (28.1)

8 (1.3)

382 (72.6)

136 (25.9)

8 (1.5)

38 (55.1)

31 (44.9)

0 (0.0)

0.003b

Duration of surgery [min],

median (max; min)

 

74.00 (450; 18)

71 (450; 18)

95 (196; 37)

< 0.001c

Drain, n (%)

 

419 (70.4)

366 (69.6)

53 (76.8)

0.216b

Syndesmotic screw,

n (%)

 

270 (45.4)

231 (43.9)

39 (56.5)

0.048b

Revision surgery, n (%)

 

54 (9.1)

39 (7.4)

15 (21.7)

< 0.001b

Time of revision surgery

Early

(< 4 postoperative weeks)

Late

(> 4 postoperative weeks)

15 (29,4)

36 (70,6)

11 (30,6)

25 (69,4)

4 (26.7)

11 (73.3)

1b

  1. a Welch’s t-test
  2. b Chi-squared test
  3. c Mann–Whitney U test