ArticleOTA international : the open access journal of orthopaedic trauma2019
Mental illness is associated with more pain and worse functional outcomes after ankle fracture.
Article in OTA international : the open access journal of orthopaedic trauma, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 25 citations in OpenAlex.
- Fear of reinjury is associated with failure to return to preinjury level of activity after operative repair of ankle fractures.OTA international : the open access journal of orthopaedic trauma · 2026Article
- Preoperative patient-reported depression and anxiety may affect short-term surgical outcomes in women with hallux valgus.Journal of orthopaedic surgery and research · 2026Article
- Association of Insurance Type and PROMIS Scores Following Ankle Fracture Surgery: A Retrospective Comparative Study.Foot & ankle orthopaedics · 2026Article
- Risks of Chronic Preoperative Opioid Use on Distal Radius Surgery Outcomes.Hand (New York, N.Y.) · 2024Article
- Prevalence of posttraumatic stress disorder in orthopedic trauma patients and a call to implement the Injured Trauma Survivor Screen as a prospective screening protocol in the United States.Journal of trauma and injury · 2024Article
- The association of pre-existing mental health conditions and patient outcomes after lower extremity orthopaedic trauma: a scoping review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Recidivism after orthopaedic trauma has diminished over time.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Clinical Improvement Following Operative Management of Ankle Fractures Among Patients With and Without Moderate to High Depressive Symptoms: An Analysis Using PROMIS.Foot & ankle orthopaedics · 2023Article
- The effect of the COVID-19 pandemic on mental health associated trauma, admissions and fractures at a London major trauma centre.Annals of the Royal College of Surgeons of England · 2021Observational
- Ankle fractures in patients over age 55 years: Predictors of functional outcome.OTA international : the open access journal of orthopaedic trauma · 2020Article
- Are we missing the mark? Relationships of psychosocial issues to outcomes after injury: A review of OTA annual meeting presentations.OTA international : the open access journal of orthopaedic trauma · 2020Article
- Implementing psychosocial programming at a level 1 trauma center: results from a 5-year period.Trauma surgery & acute care open · 2020Article
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: To assess clinical and functional outcomes after ankle fracture in patients with preexisting mental illness. Design: Retrospective study. Setting: Level 1 trauma center. Patients/Participants: One thousand three hundred seventy-eight adult patients treated for ankle fractures; 228 (17%) had preexisting mental illness. Intervention: Open reduction internal fixation. Main outcome measure: Rates of complications and reoperations. Functional outcomes were assessed via Foot Function Index (n = 530) and Short Musculoskeletal Function Assessment (n = 530). Results: Depression was the most common mental illness (63%), followed by anxiety (23%). Mental illness was associated with older age, female sex, and preexisting medical comorbidities, including diabetes and obesity. Mental illness was not associated with specific fracture patterns or open injury. Complications occurred no more often in patients with mental illness, but secondary operations (13% vs 7%) were more likely, particularly implant removals (8% vs 4%), both Conclusion: Secondary operations were nearly 50% more frequent in patients with mental illness, and functional outcome scores were significantly worse, suggesting that mental illness, unrelated to injury and treatment parameters, has major influence on outcomes. In the future, strategies to identify and treat mental illness prior to and after treatment could improve functional outcomes following ankle fracture.
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