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ORIGINAL ARTICLE Ankle Fractures in the Elderly What You Get Depends on Where You Live and Who You See Kenneth J. Koval, MD, Jon Lurie, MD, MS, Weiping Zhou, Michael B. Sparks, MD, Robert V. Cantu, MD, Scott M. Sporer, MD, and James Weinstein, DO, MS malleolar fractures, 11% for isolated lateral malleolar fractures, 58% Objectives: This study was performed to determine 1) the rate of for bimalleolar fractures, and 74% for trimalleolar fractures. In re- ankle fractures in the elderly in the United States stratified by hospital gression analysis, the factors associated with nonoperative care after referral region, and 2) whether the percentage of ankle fractures ankle fracture were: older age, female gender, increasing number of treated surgically is affected by factors, such as fracture location, comorbidities as measured by the Charlson index, presence of diabe- hospital referral region, concentration of orthopaedists, presence of tes or peripheral vascular disease, and living in a hospital service area a teaching hospital in that region, patient age, race, gender, or the that had a designated teaching hospital. Beneficiaries living in areas number and type of specific medical comorbidities. in which a hospital was a member of the Council of Teaching Hos-
Journal of Orthopaedic Trauma – Wolters Kluwer Health
Published: Oct 1, 2005
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