Effect of Obesity on Bone Healing After Foot and Ankle Long Bone Fractures

Jakob C. Thorud, Spencer Mortensen, Jennifer L. Thorud, Naohiro Shibuya, Yolanda Munoz Maldonado, Daniel Jupiter

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

As obesity has become more common, fractures in the obese population have become more frequent. Concern exists regarding alterations in bone health and healing in obese patients. A matched case-control study was performed at 1 institution to evaluate whether an association exists between nonunion and a high body mass index in metatarsal and ankle fractures. A total of 48 patients with nonunion were identified, and control patients matched 2 to 1 (n = 96) were selected. The control patients were matched for age, sex, and fracture type. No association was identified between nonunion and the continuous body mass index (p = .23) or morbid obesity, with a body mass index of ≥40 kg/m2 (p = .51). However, the results from both univariate and multivariate analysis suggested that patients with a current alcohol problem or a history of an alcohol problem might have a greater risk of nonunion. The odds ratio of a patient with a history of alcohol use experiencing nonunion was 2.7 (95% confidence interval 1.2 to 6.2). Further studies are warranted to confirm these findings.

Original languageEnglish (US)
Pages (from-to)258-262
Number of pages5
JournalJournal of Foot and Ankle Surgery
Volume56
Issue number2
DOIs
StatePublished - Mar 1 2017

Fingerprint

Tarsal Bones
Bone Fractures
Foot
Obesity
Bone and Bones
Body Mass Index
Alcohols
Ankle Fractures
Metatarsal Bones
Morbid Obesity
Case-Control Studies
Multivariate Analysis
Odds Ratio
Confidence Intervals
Health
Population

Keywords

  • alcohol
  • BMI
  • body mass index
  • fracture healing
  • metatarsal fracture

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Effect of Obesity on Bone Healing After Foot and Ankle Long Bone Fractures. / Thorud, Jakob C.; Mortensen, Spencer; Thorud, Jennifer L.; Shibuya, Naohiro; Maldonado, Yolanda Munoz; Jupiter, Daniel.

In: Journal of Foot and Ankle Surgery, Vol. 56, No. 2, 01.03.2017, p. 258-262.

Research output: Contribution to journalArticle

Thorud, Jakob C. ; Mortensen, Spencer ; Thorud, Jennifer L. ; Shibuya, Naohiro ; Maldonado, Yolanda Munoz ; Jupiter, Daniel. / Effect of Obesity on Bone Healing After Foot and Ankle Long Bone Fractures. In: Journal of Foot and Ankle Surgery. 2017 ; Vol. 56, No. 2. pp. 258-262.
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