A comparison of 30-day complications following plate fixation versus intramedullary nailing of closed extra-articular tibia fractures

Minhas, Shobhit V.; Ho, Bryant S.; Switaj, Paul J.; Ochenjele, George; Kadakia, Anish R.

doi:10.1016/j.injury.2014.12.014

Cited by 19 publications

(19 citation statements)

References 27 publications

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“…Among the proximal tibial fractures, there was a predominance of women (male:female 42:58), while, among the tibial shaft fractures and the distal tibial fractures, there was a predominance of men (male:female 59:41 and 54:46 respectively). Among proximal tibial fractures, the partial intra-articular B fracture was the most common fracture type and constituted 64% of proximal tibial fractures and 32% of A few recent studies of different aspects of specific types of tibial fracture have reported re-operation rates after the treatment of tibial fractures [37][38][39][40][41] . To the best of our knowledge, there is, however, no previous register-based study that describes the treatment and re-operation rates of fractures in all segments of the tibia.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Epidemiology and incidence of tibia fractures in the Swedish Fracture Register

Wennergren

Bergdahl

Ekelund

et al. 2018

Injury

109

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Section: Resultsmentioning

confidence: 99%

“…The surgical techniques and implant designs have further evolved. Most previous studies of epidemiology, treatment and re-operation rates were conducted or published before the introduction of anatomic locking plates and modern locking intramedullary nails [34][35][36][37][38][39][40][41] .…”

Section: History Of Tibial Fracturesmentioning

confidence: 99%

Epidemiology and incidence of tibia fractures in the Swedish Fracture Register

Wennergren

Bergdahl

Ekelund

et al. 2018

Injury

109

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“…Patient variables from more than 250 participating institutions nationwide are included in the ACS NSQIP 1 , and this database has been used to analyze trends and associations in orthopaedic surgery [15,17,28]. The method of data abstraction from the ACS NSQIP 1 participant files has been described [4,18].…”

Section: Methodsmentioning

confidence: 99%

What are the Risk Factors for Cerebrovascular Accidents After Elective Orthopaedic Surgery?

Minhas

Goyal

Patel

2016

Clinical Orthopaedics &Amp; Related Research

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Background Perioperative cerebrovascular accidents (CVAs) are one of the leading causes of patient morbidity, mortality, and medical costs. However, little is known regarding the rates of these events and risk factors for CVA after elective orthopaedic surgery. Questions/purposes Our goals were to (1) establish the national, baseline proportion of patients experiencing a 30-day CVA and the timing of CVA; and (2) determine independent risk factors for 30-day CVA rates after common elective orthopaedic procedures. Methods Patients undergoing elective TKA, THA, posterior or posterolateral lumbar fusion, anterior cervical discectomy and fusion, and total shoulder arthroplasty, from 2006 to 2012, were identified from the American College of Surgeons National Surgical Quality Improvement Program 1 database. A total of 42,150 patients met inclusion criteria. Thirty-day CVA rates were recorded for each procedure, and patients were assessed for characteristics associated with CVA through univariate analysis. Multivariate regression models were created to identify independent risk factors for CVA. Results A total of 55 (0.13%) patients experienced a CVA within 30 days of the procedure, occurring a median of 2 days after surgery (range, 1-30 days) with 0.08% of patients experiencing a CVA after TKA, 0.15% after THA, 0.00% after single-level anterior cervical discectomy and fusion, 0.38% after multilevel anterior cervical discectomy and fusions, 0.20% after single-level posterior or posterolateral lumbar fusion, 0.70% after multilevel posterior or posterolateral lumbar fusion, and 0.22% after total shoulder arthroplasty. Independent risk factors for CVA included age of 75 years or older (odds ratio [OR], 2.50; 95% CI,

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“…Since the femur is the strongest bone in the body and fractures often result from high-energy impaction, patients frequently present with associated injuries and need multiple surgical interventions, leading to a higher ASA score. 19,20 Orthopaedic surgeons must account for the increased risk of complications for femoral fractures when assessing patients for surgery. IMN is currently the method most used by surgeons to treat long bone fractures since it is less invasive by nature, has potential for earlier weight-bearing, and has shown to have a lower rate of postoperative complications.…”

Section: Discussionmentioning

confidence: 99%