Evidence map›Paper›PMID 41528509›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2026

Surgical wound complications in ankle ORIF patients: a predictive analysis on a single-center retrospective cohort of 287 patients.

Gianluca Canton, Andrea Marchetti, Belinda Trobec, Giacomo Andreotti, Alex Buoite Stella, Manuela Deodato, Gregorio Artusato, Chiara Ratti, Luigi Murena

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Distribution of putative SSI risk factors in adults undergoing open reduction and fixation of long bone fracture.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Observational
4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Gianluca CantonDepartment of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.
Andrea MarchettiDepartment of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.
Belinda TrobecDepartment of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy. belindatrobec1@gmail.com.
Giacomo AndreottiDepartment of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.
Alex Buoite StellaPhysioterapy degree course, University of Trieste, Trieste, Italy.
Manuela DeodatoPhysioterapy degree course, University of Trieste, Trieste, Italy.
Gregorio ArtusatoDepartment of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.
Chiara RattiDepartment of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.
Luigi MurenaDepartment of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo analyse predictors of surgical wound complications (infection, dehiscence and necrosis) in ankle trauma surgery on a single-center retrospective cohort, to define proper strategies for prevention of surgical wound complications.

methodsData from 287 adult patients treated with open reduction internal fixation between July 2020 and December 2024 for closed fractures were analysed. The predictive score by Wise et al., incorporating factors such as male sex, body mass index (BMI) ≥ 30, diabetes, alcohol abuse, fracture type, Methicillin Resistant Staphylococcus Aureus (MRSA) nasal colonization, and American Society of Anesthesiology (ASA) class, was retrospectively applied. In addition to the variables considered in the original score, operative time and trauma energy were also analyzed.

resultsMale sex (p = 0.018), high-energy trauma (p = 0.005), intraoperative time (p < 0.001), and the Wise et al. wound complication score (p = 0.001) were significantly associated with an increased risk of wound healing complications. However, in logistic regression analysis, male sex was not an independent risk factor. In contrast, the Wise score remained significantly associated with complications (p = 0.021; OR = 1.341; AUC = 0.641). Intraoperative time (p < 0.001; OR = 1.024) and high-energy trauma (p = 0.048; OR = 2.123) were also confirmed as independent predictors.

conclusionThe findings suggest the model may help identify high-risk patients, though further validation is needed.

Indexed as

Ankle FracturesFracture Fixation, InternalFractures, ClosedOpen Fracture ReductionSurgical Wound DehiscenceSurgical Wound InfectionAdultAgedFemaleHumansMaleMiddle AgedNecrosisOperative TimeRetrospective StudiesRisk FactorsAnkle fractureOpen reduction internal fixation (ORIF)Risk factorsSurgical site infectionWound complications

Identifiers

PMID41528509

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.