OBB-0008

Management of open ankle fractures in the united kingdom


Step 1 of 5

Section 1 - Basic information about you and your application:



Title of research project
Management of open ankle fractures in the united kingdom

Project summary

The project aims to investigate the treatment of open ankle fractures in elderly patients. This research is part of a broader effort to improve the management of complex lower limb fractures. It presents an opportunity for professional development, interdisciplinary collaboration, educational growth, and skill enhancement.

Type of project
Audit

Type of research
Clinical

Specialty/Area:
Limb Reconstruction

Start date


End date


Section 2 - Purpose of the research and originality

Aims / Objectives:

To assess the current practices and identify variations of bony and soft tissue management for open ankle fractures in the United Kingdom

To evaluate the impact of different soft tissue management strategies on clinical outcomes, including infection rate, wound healing, and functional recovery

Create a comprehensive database of open ankle fracture soft tissue management with tracked outcomes both clinical and lifestyle using established metrics

Background to investigation

Open ankle fractures are becoming increasingly common, injury among the elderly, and are primarily associated with low-energy mechanisms. Epidemiological studies have shown a distinctive pattern: while young males often experience high-energy traumas, elderly females tend to sustain these injuries due to low-energy mechanisms, frequently linked to osteoporotic bone and the vulnerability of their soft tissues. This trend among the elderly population has led to a growing incidence, thereby making open ankle fractures as an emerging and critical public health concern.

Comparisons to the well-documented elderly hip fracture research reveal notable parallels to open ankle fractures such as prolonged hospital stays, increased morbidity, and elevated mortality rates. However, unlike hip fractures, which have established evidence-based care pathways, treatment objectives, and rehabilitation protocols, the management of open ankle fractures in the elderly remains shrouded in ambiguity. Controversies persist concerning the optimal approaches to bone fixation but also in the management of the delicate soft tissue envelope. As a result, there is a distinct shortage of comprehensive literature addressing the management, outcomes, and complications of fragility open ankle fractures.

This calls for a focused and comprehensive examination of open ankle fractures in the elderly, with the aim of establishing evidence-based guidelines, improved care protocols, and a better understanding of the challenges associated with this emergent public health concern.



Purpose of the research and originality(Required)

Other documents

Applicant CV: Download here
Reference letter: Download here