Open Reduction and Internal Fixation of Metacarpal Shaft Fractures

Aim: To estimate rates of fracture-related infection (FRI) and nonunion and assess the healthcare burden associated with FRI among patients with open reduction and internal fixation (ORIF) for Type III open tibial shaft fractures (TSFs). Methods: Patients with type III TSF requiring ORIF were identified using MarketScan® Database. Healthcare utilization and total costs were compared using generalized linear models. Results: The rates of FRI and nonunion were 35.99 and 36.94%, respectively, at 365 days. Patients with FRI had a significantly higher rate of readmission, emergency room visit and total healthcare costs compared with patients without FRI. Conclusion: Patients with an ORIF procedure for Type III TSF have a high risk of FRI and nonunion and; FRI significantly increased the healthcare burden.

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Plating of Femoral Shaft Fractures: Open Reduction and Internal Fixation Versus Submuscular Fixation

Journal of Trauma and Acute Care Surgery ◽

10.1097/ta.0b013e318154c0b4 ◽

2007 ◽

Vol 63 (5) ◽

pp. 1061-1065 ◽

Cited By ~ 16

Author(s):

Michael Zlowodzki ◽

Dennis Vogt ◽

Peter A. Cole ◽

Philip J. Kregor

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Femoral Shaft ◽

Femoral Shaft Fractures ◽

Shaft Fractures

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Outcome of radial nerve injury associated with fracture humeral shaft fractures treated with open reduction and internal fixation

International Journal of Orthopaedics Sciences ◽

10.22271/ortho.2018.v4.i2c.22 ◽

2018 ◽

Vol 4 (2c) ◽

pp. 151-154

Author(s):

Shrivastava Pradeep ◽

Jain saurabh ◽

Gautam Vaibhav

Keyword(s):

Internal Fixation ◽

Nerve Injury ◽

Radial Nerve ◽

Open Reduction ◽

Humeral Shaft ◽

Humeral Shaft Fractures ◽

Shaft Fractures ◽

Radial Nerve Injury

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Shaft Fractures of the Metacarpus and Metatarsus in Cattle

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.1055/s-0038-1633112 ◽

1993 ◽

Vol 06 (03) ◽

pp. 138-145 ◽

Cited By ~ 10

Author(s):

U. Iselin ◽

J. A. Auer ◽

C. J. Lischer ◽

A. Steiner

Keyword(s):

Body Weight ◽

Internal Fixation ◽

Open Reduction ◽

Fracture Reduction ◽

Long Term Results ◽

Term Result ◽

Shaft Fractures ◽

Long Term Result

SummaryThis study describes the history, signalment, fracture configuration, methods of treatment and outcome of 58 cattle suffering from a shaft fracture of the metacarpus or metatarsus. For the purpose of describing the accuracy of fracture reduction and progress of healing, as defined by radiographs, a grading system was developed and is described.Of the 58 animals, 17 (29.3%) were treated by means of a full-limb cast, seven (12.1%) by a walking-cast, 13 (22.4%) by a modified walking-cast, and 11 (19.0%) by open reduction and internal fixation (ORIF). Ten animals (17.2%) were slaughtered, because of economic reasons, immediately after the diagnosis had been confirmed. The (modified) walking-cast techniques were more frequently used for treatment of complex fractures; full-limb cast and ORIF were more frequently used for the other fracture types. Radiographic long-term followup data revealed that ORIF provided significantly better long-term results than external coaptation. An angular limb deformity in the saggital plane (plantar bowing) occurred in three of four metatarsal, but not in metacarpal fractures treated by external coaptation. A significant correlation existed between the quality of fracture reduction and the long-term result. However, a correlation was not found between the age and body weight of the animals and the outcome, and between the time from trauma to treatment and the outcome.Fifty-eight shaft fractures of the metacarpus and metatarsus in cattle were evaluated retrospectively using a new radiographic scoring system. Open reduction and internal fixation provided significantly better long-term results than external coaptation. A significant correlation was found between the quality of the fracture reduction and the long-term result; a correlation was not found between age and body weight of the animal and the outcome, nor between the time that elapsed from trauma to treatment and the outcome.

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