{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T18:47:39Z","timestamp":1791830859364,"version":"4.3.4"},"reference-count":19,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Elective ankle hardware removal is classified as a clean surgical procedure, although postoperative wound complications remain a relevant source of morbidity. The role of routine preoperative antibiotic prophylaxis in this setting remains uncertain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective observational study was conducted including patients who underwent elective ankle hardware removal between 2019 and 2025. The primary outcome was postoperative wound complications. Univariate analysis and multivariable logistic regression were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 160 patients were included, and wound complications occurred in 13 patients (8.1%). In univariate analysis, older age, higher body mass index, active smoking, peripheral vascular disease, and an estimated glomerular filtration rate &lt;90\u2009mL\/min\/1.73\u2009m\u00b2 were associated with wound complications. The exploratory high clinical-risk group had a higher complication rate than the low-risk group (14.3% vs 1.5%; P\u2009=\u2009.007). In the multivariable analysis, age (odds ratio [OR] 1.067; 95% confidence interval [CI] 1.014-1.122; P\u2009=\u2009.012), body mass index (OR 1.166; 95% CI 1.025-1.325; P\u2009=\u2009.019), and active smoking (OR 4.90; 95% CI 1.19-20.00; P\u2009=\u2009.028) were associated with wound complications. Wound complication rates were identical between patients who did and did not receive preoperative cefazolin (7.7% vs 7.7%; P\u2009=\u20091.000).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings highlight older age, BMI, and active smoking as factors to consider during preoperative risk assessment before elective ankle hardware removal. No association between preoperative antibiotic prophylaxis and wound complications was observed; however, this finding should be interpreted cautiously given the limited number of patients who received preoperative antibiotics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Level III, retrospective observational study<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19386400261491412","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T10:42:22Z","timestamp":1791542542000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Host-Related Predictors of Wound Complications After Elective Ankle Hardware Removal"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-6309-3847","authenticated-orcid":false,"given":"Ana","family":"Santamar\u00eda L\u00f3pez","sequence":"first","affiliation":[{"name":"Hospital Universitario de Getafe, Madrid, Espa\u00f1a"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Cu\u00e9llar Torres","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, University Hospital of Getafe, Madrid, Espa\u00f1a"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda","family":"Pont\u00f3n Sarrio","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, University Hospital of Getafe, Madrid, Espa\u00f1a"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa","family":"Mart\u00edn Nieto","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, University Hospital of Getafe, Madrid, Espa\u00f1a"},{"name":"Arthroscopy Department, University Hospital of Getafe, Madrid, Espa\u00f1a"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo C.","family":"Arviza Lorenzo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, University Hospital of Getafe, Madrid, Espa\u00f1a"},{"name":"Arthroscopy Department, University Hospital of Getafe, Madrid, Espa\u00f1a"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.19343"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2023.10.013"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/joim.12233"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/OI9.0000000000000097"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.2174\/1574886317666220429081207"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-025-02769-y"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.2146\/ajhp120568"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2018.06.018"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.70068"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.24075"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1530\/EOR-23-0139"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/dkt444"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.01672"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.6095"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/JS9.0000000000001881"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/JS9.0000000000001882"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1128\/aac.00494-24"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2016.12.016"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-020-01024-y"}],"container-title":["Foot &amp; 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