{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:57:27Z","timestamp":1790740647693,"version":"4.1.0"},"reference-count":23,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,2,2]],"date-time":"2019-02-02T00:00:00Z","timestamp":1549065600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Specialist"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:p>\n                    Introduction: Metabolic syndrome (MetS) is associated with significant postoperative morbidity. Despite an increasing prevalence of MetS in the US population, its impact on postoperative outcomes following ankle fractures remains limited. Materials and Methods: The 2012-2016 American College of Surgeons\u2013National Surgical Quality Improvement Program database was queried for patients undergoing open reduction with internal fixation (ORIF) for ankle fractures using Current Procedural Terminology codes: 27766, 27769, 27792, 27814, 27822, and 27823. The study cohort was divided into 2 groups: MetS versus No MetS. MetS was identified using a predefined criteria as the coexistence of (1) diabetes mellitus, (2) hypertension, and (3) body mass index \u226530 kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    . Results: A total of 1013 (6.7%) MetS underwent ORIF for ankle fractures. Following adjustment for baseline differences, MetS was an independent predictor of experiencing any 30-day complication (odds ratio [OR] = 1.35; P = .020), wound complications (OR = 1.67; P = .024), renal complications (OR = 3.54; P = .022), 30-day readmissions (OR = 1.66; P = .001), 30-day unplanned reoperations (OR = 1.69; P = .009) and decreased odds of home discharge (OR = 0.66; P &lt; .001). Conclusion: Patients with MetS undergoing ORIF for ankle fractures are at an increased risk of experiencing adverse 30-day complications, readmissions, and reoperations. Providers should understand the need of appropriate postoperative surveillance in this high-risk group to minimize the risk of poor outcomes.\n                  <\/jats:p>\n                  <jats:p>Level of Evidence: Level III<\/jats:p>","DOI":"10.1177\/1938640019826692","type":"journal-article","created":{"date-parts":[[2019,2,2]],"date-time":"2019-02-02T04:27:36Z","timestamp":1549081656000},"page":"93-103","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["The Impact of Metabolic Syndrome on 30-Day Outcomes Following ORIF for Ankle Fractures"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9952-7416","authenticated-orcid":false,"given":"Jack","family":"Xie","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azeem Tariq","family":"Malik","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen E.","family":"Quatman","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thuan V.","family":"Ly","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura S.","family":"Phieffer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7879-8177","authenticated-orcid":false,"given":"Safdar N.","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,2,2]]},"reference":[{"key":"bibr1-1938640019826692","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.4260"},{"key":"bibr2-1938640019826692","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2012.05.037"},{"key":"bibr3-1938640019826692","doi-asserted-by":"publisher","DOI":"10.1177\/2192568218765149"},{"key":"bibr4-1938640019826692","doi-asserted-by":"publisher","DOI":"10.1001\/jama.287.3.356"},{"key":"bibr5-1938640019826692","doi-asserted-by":"publisher","DOI":"10.2337\/diab.41.6.715"},{"key":"bibr6-1938640019826692","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)66378-7"},{"key":"bibr7-1938640019826692","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.28.11.2745"},{"key":"bibr8-1938640019826692","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.24.4.683"},{"key":"bibr9-1938640019826692","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e3181eff32e"},{"key":"bibr10-1938640019826692","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aev199"},{"key":"bibr11-1938640019826692","doi-asserted-by":"publisher","DOI":"10.1177\/1071100717709576"},{"key":"bibr12-1938640019826692","doi-asserted-by":"publisher","DOI":"10.1177\/1071100714524555"},{"key":"bibr13-1938640019826692","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-014-4005-z"},{"key":"bibr14-1938640019826692","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-015-4223-z"},{"key":"bibr15-1938640019826692","unstructured":"American College of Surgeons. User guide for the 2016 ACS NSQIP procedure targeted Participant Use Data File (PUF). https:\/\/www.facs.org\/~\/media\/files\/quality%20programs\/nsqip\/pt_nsqip_puf_userguide_2016.ashx. 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