Does Open Reduction Increase the Chance of Infection During Intramedullary Nailing of Closed Tibial Shaft Fractures?

2007 ◽  
Vol 2007 ◽  
pp. 90-92
Author(s):  
M.F. Swiontkowski
2012 ◽  
Vol 61 (3) ◽  
pp. 435-438
Author(s):  
Makoto Sakurai ◽  
Hidetoshi Onoue ◽  
Hitoshi Shirachi ◽  
Jun Tanaka ◽  
Masaya Todoroki ◽  
...  

2006 ◽  
Vol 20 (5) ◽  
pp. 317-322 ◽  
Author(s):  
Peter Tang ◽  
Charley Gates ◽  
Justin Hawes ◽  
Molly Vogt ◽  
Michael J. Prayson

2019 ◽  
Vol 8 (11) ◽  
pp. 907-915
Author(s):  
Abhishek S Chitnis ◽  
Mollie Vanderkarr ◽  
Charisse Sparks ◽  
Jonathan McGlohorn ◽  
Chantal E Holy

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.


2016 ◽  
Vol 4 (1) ◽  
pp. 11
Author(s):  
Sandeep Gurung ◽  
Dipendra KC ◽  
Roshni Khatri

Introduction: Tibia fractures in the skeletally immature patient can usually be treated with above knee cast or patellar tendon bearing cast. The purpose of our study was to evaluate epidemiology and outcome of Elastic stable intramedullary nailing fixation of pediatric tibial shaft fractures treated at our institution.   Methods: Over a period of one year, fifty pediatric patients of tibial shaft fractures, with average age of 9.68 yr (SD=2.37), were treated with elastic stable intramedullary nail. Demographic data, union and complication rate were evaluated.   Results: There were 36 closed and 14 open fractures. The average time to union was 11.6 weeks  (SD=2.65) for close and  14.3 weeks (SD=2.62) for open fracture. There were no instances of growth arrest, remanipulations, or refracture.   Conclusion: We conclude that flexible intramedullary fixation is an easy and effective method of management of both open and closed unstable fractures of the tibia in children.


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