Intra-articular distal tibial fractures cause a major burden to individual patients and also stresses the public health care system
Autor: | Ville Bister, Timo Lenkkeri, Markus Parkkinen, Jan Lindahl |
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Přispěvatelé: | Department of Surgery, HUS Musculoskeletal and Plastic Surgery, Clinicum, Faculty of Medicine, University of Helsinki, I kirurgian klinikka (Töölö) |
Rok vydání: | 2022 |
Předmět: |
Soft Tissue Injuries
Intra-Articular Fractures PILON FRACTURES Trauma Distal tibia Fracture Fixation Internal INTERNAL-FIXATION MANAGEMENT SURGICAL SITE INFECTION Humans OPEN REDUCTION Retrospective Studies General Environmental Science OUTCOMES Severe 3126 Surgery anesthesiology intensive care radiology Tibial Fractures PLAFOND Treatment Outcome DEEP INFECTION RISK-FACTORS General Earth and Planetary Sciences Surgery Intra-articular Delivery of Health Care Follow-Up Studies |
Zdroj: | Injury. 53:2888-2892 |
ISSN: | 0020-1383 |
Popis: | Background and purpose: Intra-articular distal tibial fractures are most commonly caused by high-energy trauma. Additional difficulties are related to accompanying soft-tissue injuries. The purpose of this study was to evaluate the consequences of different types of distal tibial fractures to the individual patient and to the public health care system.Patients and methods: 126 patients with operatively treated intra-articular distal tibial fracture were iden-tified between 2012 and 2016. Thirty-one (25%) were open fractures. Acute treatment, timing of definitive surgery, total number of surgical procedures, complications, need for soft-tissue reconstructions, hospital stay, and number of follow-up visits were recorded related to AO/OTA fracture types.Results: 112 patients (89%) were treated with a staged treatment protocol. Of these patients, 74 first received an external fixation device. The definitive fracture fixation was performed on average 8 days after the trauma. Soft-tissue flap reconstruction was needed in 19 patients (15%). Additionally, 7 patients required split-thickness skin grafting. Total hospital stay ranged from 2 to 87 days (median 14 days). The median ward treatment period was 12 days in B2-3 group, 13 days in C1-2 group, and 18 days in C3 group. The median of 2 (range 1-13) surgical procedures were performed. Interpretation: Intra-articular distal tibial fractures cause a major burden to individual patients and stresses the public health care system due to a frequent need for several surgical procedures because of soft-tissue injuries and complications. AO/OTA type C3 fractures had the greatest burden, as patients required several consecutive operations and prolonged hospital stays.(c) 2022 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license ( http://creativecommons.org/licenses/by/4.0/ ) |
Databáze: | OpenAIRE |
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