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Orthop Clin North Am. 2018 Jan;49(1):103-108. doi: 10.1016/j.ocl.2017.08.012.

Outpatient Management of Ankle Fractures.

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Department of Orthopedic Surgery, University of Chicago, 5841 S Maryland Avenue Ste Mc6098, Chicago, IL 60637, USA.
Department of Orthopedic Surgery, Northwestern University, 240 E Huron Street # M300, Chicago, IL 60611, USA.
Foot and Ankle, Foot and Ankle Orthopedic Fellowship, Department of Orthopedic Surgery, Northwestern Memorial Hospital, Northwestern University, Feinberg School of Medicine, 676 North St. Clair, Suite 1350, Chicago, IL 60611, USA. Electronic address:


Interest in outpatient orthopedic surgery has been fueled by provider desire to control costs and development of rapid recovery protocols. Open reduction and internal fixation (ORIF) is a commonly elected treatment strategy for ankle fracture that may be performed in an outpatient setting. Lessons on cost-savings of the outpatient model in orthopedics can be learned in total joint replacement and spine surgery. Moreover, in properly selected patients, outpatient ORIF has been shown to be comparably safe. Reasons for admission of the surgically managed patient with ankle fractures, including concern for surgical delay and additional social factors, warrant further investigation.


Ankle fractures; Complications; Costs; ORIF; Outpatient management

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