ArticleJournal of orthopaedic surgery and research2025
The clinical frailty scale is associated with an increased risk of postoperative complications and the development of post-traumatic osteoarthritis in elderly patients with trimalleolar ankle fractures - a retrospective study.
Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Frailty Trajectory Within 3 Months After Discharge Among Older Adults Living With Frailty Who Experience Hip Fracture Surgery and Predictors.Journal of advanced nursing · 2026Observational
- Mediation of the frailty index, the relationship between sleep duration and chronic pain in different body regions: insights from the CHARLS cross-sectional study.Journal of orthopaedic surgery and research · 2025Article
- Standardizing classification and assessment methods in clinical frailty scale evaluation for elderly trimalleolar fractures.Journal of orthopaedic surgery and research · 2025Article
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9 authors.
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Abstract
backgroundThe Clinical Frailty Scale (CFS) is a tool to assess the overall health of older adults. There are few reports of CFS and prognosis of ankle fracture. The objective of this study was to determine the predictive power of the CFS for adverse clinical and radiographic outcomes after surgery in elderly patients with trimalleolar fractures.
methodAll patients aged 65 and older underwent open reduction and internal fixation for trimalleolar fractures between January 2015 to January 2023 were selected. Follow-up time was at least 1 year. Patients with post-traumatic osteoarthritis, bone tumors, bone infection, and other diseases before surgery were excluded. According to the CFS score, the patients were divided into three groups: not frail, vulnerable, and frail. Multivariate logistic regression analysis was used to evaluate the effect of the clinical frailty scale on postoperative complications.
resultExcluding 3 cases of death during the follow-up process, and 4 cases lost to follow-up, the study included a total of 146 patients, who were grouped based on their degree of frailty: the Healthy Group (CFS = 1-3, n = 69), the Vulnerable Group (CFS = 4, n = 50), and the Frail Group (CFS = 5-9, n = 47). In comparison with the not frail group, frail (CFS 5-9) emerged as an independent predictor of any complications (OR = 6.90, CI: 1.43-11.56, P = 0.009), adverse discharge destination (OR = 7.53, CI: 2.06-77.50, P = 0.006), and post-traumatic osteoarthritis (OR = 8.90, CI: 1.94-24.66, P = 0.003).
conclusionsThe frailty assessed by the CFS is associated with adverse discharge destination, any complications, and post-traumatic osteoarthritis in elderly patients undergoing open reduction and internal fixation for trimalleolar fractures.
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