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
Abstract Background The 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...
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BMC
2025-01-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-025-05499-4 |
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| author | Qingsong Zhou Wei Deng Ming Zhao Wei Zhou Duo Chen Heng Wang Shengtao Wang Hongsheng Yang Yong Yin |
| author_facet | Qingsong Zhou Wei Deng Ming Zhao Wei Zhou Duo Chen Heng Wang Shengtao Wang Hongsheng Yang Yong Yin |
| author_sort | Qingsong Zhou |
| collection | DOAJ |
| description | Abstract Background The 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. Method All 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. Result Excluding 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). Conclusions The 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. |
| format | Article |
| id | doaj-art-a6e152c6b44f49faa55812033697c021 |
| institution | Kabale University |
| issn | 1749-799X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
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| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj-art-a6e152c6b44f49faa55812033697c0212025-02-02T12:34:20ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2025-01-012011610.1186/s13018-025-05499-4The 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 studyQingsong Zhou0Wei Deng1Ming Zhao2Wei Zhou3Duo Chen4Heng Wang5Shengtao Wang6Hongsheng Yang7Yong Yin8Department of Orthopedics, Pidu District People’s Hospital, The Third Affiliated Hospital of Chengdu Medical CollegeDepartment of Orthopedics, Pidu District People’s Hospital, The Third Affiliated Hospital of Chengdu Medical CollegeDepartment of Orthopedics, Pidu District People’s Hospital, The Third Affiliated Hospital of Chengdu Medical CollegeDepartment of Orthopedics, Pidu District People’s Hospital, The Third Affiliated Hospital of Chengdu Medical CollegeDepartment of Orthopedics, Pidu District People’s Hospital, The Third Affiliated Hospital of Chengdu Medical CollegeDepartment of Hip Surgery, Mianyang Orthopaedic HospitalDepartment of Orthopedics, Pidu District People’s Hospital, The Third Affiliated Hospital of Chengdu Medical CollegeDepartment of Orthopedics, The First Affiliated Hospital of Chengdu Medical CollegeDepartment of Orthopedics, Pidu District People’s Hospital, The Third Affiliated Hospital of Chengdu Medical CollegeAbstract Background The 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. Method All 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. Result Excluding 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). Conclusions The 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.https://doi.org/10.1186/s13018-025-05499-4FrailClinical frailty scaleTrimalleolar fracture |
| spellingShingle | Qingsong Zhou Wei Deng Ming Zhao Wei Zhou Duo Chen Heng Wang Shengtao Wang Hongsheng Yang Yong Yin 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 Journal of Orthopaedic Surgery and Research Frail Clinical frailty scale Trimalleolar fracture |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | Frail Clinical frailty scale Trimalleolar fracture |
| url | https://doi.org/10.1186/s13018-025-05499-4 |
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