Timing of debridement of open tibial fractures during the COVID-19 lockdown in India

Kumar, TK Jeejesh; Mathew, Jimmy; Pai, Puneeth K; Rajasubramanya, Priyavrata; Rehman, Faris

doi:10.22271/ortho.2021.v7.i1l.2564

Cited by 2 publications

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“…Hasil penelitian ini serupa dengan penelitian di India pada tahun 2021 yang meneliti pengaruh waktu debridement dengan outcome pasca operasi (infeksi dan union) fraktur tibia terbuka. 19 Dari hasil penelitian tersebut, diketahui bahwa pasien yang menjalani debridement >12 jam pasca trauma mengalami kejadian infeksi lebih tinggi, sementara derajat union yang lebih baik terjadi pada pasien yang menjalani debridement ≤12 jam. Hasil analisis menunjukkan perbedaan yang signifikan pada outcome pasca operasi (kejadian infeksi dan union) pasien yang menjalani debridement ≤12 jam dan >12 jam dengan nilai p sebesar 0,0055 (p<0,01).…”

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“…Dalam penelitian ini juga dijelaskan bahwa kejadian infeksi dan union tidak hanya dipengaruhi oleh waktu debridement, tetapi juga dipengaruhi oleh waktu administrasi antibiotik serta proses debridement dan irigasi yang tepat oleh tim bedah yang berpengalaman. 19 Dalam penelitian ini, outcome buruk paling banyak dialami oleh sampel penelitian dengan persentase 38,7%. Hasil outcome pasca operasi pada penelitian ini berbeda dengan penelitian lainnya karena bersifat multifaktorial dan menggunakan variabel bebas yang berbeda.…”

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The Relationship of Age, Surgery Type, and Time to Surgery with Post-Operative Outcome of Open Tibial Fracture Grade III at RSUP Sanglah Denpasar in 2018-2020

Kesumaputri,

Subawa,

Dewi

et al. 2023

eum

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Open tibial fracture is one of the most common lower extremity fractures in the world, especially in Denpasar City. Clinically, open tibial fracture grade III has higher risk of worse outcome, such as infection and bone healing complication than grades I and II, thus it should be evaluated further regarding risk factors affecting that occurrence. This research aims to know the relationship between several risk factors, those are age, surgery type, and time to surgery with postoperative outcomes in open tibial fractures grade III in terms of clinical, radiological, and functional based on Johner-Wruhs criteria. This research used cross-sectional method and used patients with open tibial fracture grade III who underwent surgery at RSUP Sanglah Denpasar in 2018-2020. Based on the data collection, there were 31 patients fulfilled the inclusion and exclusion criteria. The data collected were characteristics and postoperative outcome assessed using Johner-Wruhs criteria which consisted of 4 categories. From Kendall Tau correlation test, there was no significant relationship between age and outcome (p=0,215) and a significant relationship between time to surgery and outcome (p=0,021). Moreover, the results of Fisher’s Exact Test did not find significant relationship between surgery type and outcome (p=0,720). Based on the results, it can be concluded that time to surgery (debridement) has significant effect on postoperative outcome compared to age and surgery type. Time to debridement also has unidirectional relationship with outcome, which means the longer time to debridement, the worse outcome experienced by the patient. Keywords : open tibial fracture, surgery type, outcome, age, time to surgery

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Section: Pembahasanunclassified

The Relationship of Age, Surgery Type, and Time to Surgery with Post-Operative Outcome of Open Tibial Fracture Grade III at RSUP Sanglah Denpasar in 2018-2020

Kesumaputri,

Subawa,

Dewi

et al. 2023

eum

View full text Add to dashboard Cite

show abstract

“…Hasil penelitian ini serupa dengan penelitian di India pada tahun 2021 yang meneliti pengaruh waktu debridement dengan outcome pasca-operasi (infeksi dan union) fraktur tibia terbuka. 19 Dari hasil penelitian tersebut, diketahui bahwa pasien yang menjalani debridement >12 jam pasca-trauma mengalami kejadian infeksi lebih tinggi, sementara derajat union yang lebih baik terjadi pada pasien yang menjalani debridement ≤12 jam. Hasil analisis menunjukkan perbedaan yang signifikan pada outcome pascaoperasi (kejadian infeksi dan union) pasien yang menjalani debridement ≤12 jam dan >12 jam dengan nilai p sebesar 0,0055 (p<0,01).…”

Section: Pembahasanunclassified

The Relationship of Age, Surgery Type, and Time to Surgery with Post-Operative Outcome of Grade III Open Tibial Fracture at Sanglah Denpasar General Hospital in 2018-2020

Kesumaputri,

Subawa,

Dewi

et al. 2022

eum

View full text Add to dashboard Cite

Open tibial fracture is one of the most common lower extremity fractures in the world, especially in Denpasar City. Clinically, grade III open tibial fracture has higher risk of worse outcome, such as infection and bone healing complication than grade I and II, thus it should be evaluated further regarding risk factors affecting that occurrence. This research aims to know the relationship between several risk factors, those are age, surgery type, and time to surgery with postoperative outcomes in grade III open tibial fractures in terms of clinical, radiological, and functional based on Johner-Wruhs criteria. This research used cross-sectional method and used patients with grade III open tibial fracture who underwent surgery at Sanglah Denpasar General Hospital in 2018-2020. Based on the data collection, there were 31 patients fulfilled the inclusion and exclusion criteria. The data collected were characteristics and postoperative outcome assessed using Johner-Wruhs criteria which consisted of 4 categories. From Kendall Tau correlation test, there was no significant relationship between age and outcome (p=0,215) and a significant relationship between time to surgery and outcome (p=0,021). Moreover, the results of Fisher’s Exact Test did not find significant relationship between surgery type and outcome (p=0,720). Based on the results, it can be concluded that time to surgery (debridement) has significant effect on postoperative outcome compared to age and surgery type. Time to debridement also has unidirectional relationship with outcome, which means the longer time to debridement, the worse outcome experienced by the patient. Keywords: open tibial fracture, surgery type, outcome, age, time to surgery

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Timing of debridement of open tibial fractures during the COVID-19 lockdown in India

Cited by 2 publications

References 0 publications

The Relationship of Age, Surgery Type, and Time to Surgery with Post-Operative Outcome of Open Tibial Fracture Grade III at RSUP Sanglah Denpasar in 2018-2020

The Relationship of Age, Surgery Type, and Time to Surgery with Post-Operative Outcome of Open Tibial Fracture Grade III at RSUP Sanglah Denpasar in 2018-2020

The Relationship of Age, Surgery Type, and Time to Surgery with Post-Operative Outcome of Grade III Open Tibial Fracture at Sanglah Denpasar General Hospital in 2018-2020

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