Factors associated with subsequent surgical procedures after intramedullary nailing for tibial shaft fractures
| Autor: | Job N. Doornberg, Laurent A. M. Hendrickx, Ruurd L. Jaarsma, James Virgin, Gino M. M. J. Kerkhoffs |
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| Přispěvatelé: | Orthopedic Surgery and Sports Medicine, Amsterdam Movement Sciences, Other Research, AMS - Sports |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Reoperation Open fracture medicine.medical_specialty Additional Surgical Procedure Adolescent Bone healing Bone Nails Implant removal law.invention Intramedullary rod Fractures Open Young Adult law Risk Factors Medicine Humans Orthopedics and Sports Medicine Device Removal Aged Retrospective Studies Aged 80 and over Fracture Healing Subsequent surgery business.industry Predictors Surgical procedures Middle Aged Surgery Fracture Fixation Intramedullary Tibial Fractures Tibial shaft fracture Treatment Outcome Intramedullary nailing Female Original Article Implant business |
| Zdroj: | European Journal of Orthopaedic Surgery & Traumatology European journal of orthopaedic surgery and traumatology, 31(1), 43-50. Springer Verlag |
| ISSN: | 1633-8065 |
| Popis: | Introduction The reported rate of subsequent surgery after intramedullary nailing (IMN) of tibial shaft fractures (TSFs) is as high as 21%. However, most studies have not included the removal of symptomatic implant in these rates. The purpose of this study was to evaluate the subsequent surgery rate after IMN of TSFs, including the removal of symptomatic implants. Secondly, this study aimed to assess what factors are associated with subsequent surgery (1) to promote fracture and wound healing and (2) for the removal of symptomatic implants. Methods One-hundred and ninety-one patients treated with IMN for TSFs were retrospectively included. The rate of subsequent surgery was determined. Bi- and multivariable analysis was used to identify variables associated with subsequent surgery. Results Approximately half of patients (46%) underwent at least one subsequent surgical procedure. Forty-eight (25%) underwent a subsequent surgical procedure to promote fracture or wound healing. Age (P P P P P Conclusions Patients treated with IMN for TSFs should be consented that about one-in-two patients will undergo an additional surgical procedure. Half of these procedures are required to promote wound or fracture healing; the other half are for symptomatic implant removal. Level of evidence Therapeutic level-IV. |
| Databáze: | OpenAIRE |
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