EVALUATION AND COMPARISON OF OPEN AND CLOSED TIBIA SHAFT FRACTURES IN A QUATERNARY REFERENCE CENTER
ABSTRACT Introduction Tibia shaft fractures are among the most common in orthopedic practice, but Brazilian literature remains limited on the subject. Objective To evaluate the characteristics of tibia shaft fractures and conduct a comparison between exposed and closed fractures of the tibia. M...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2018-06-01
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| Series: | Acta Ortopédica Brasileira |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522018000300194&tlng=en |
| _version_ | 1818720014920843264 |
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| author | ALEX DE LIMA SANTOS CONRADO TAZIMA NITTA GUILHERME BONI GUSTAVO TADEU SANCHEZ MARCEL JUN SUGAWARA TAMAOKI FERNANDO BALDY DOS REIS |
| author_facet | ALEX DE LIMA SANTOS CONRADO TAZIMA NITTA GUILHERME BONI GUSTAVO TADEU SANCHEZ MARCEL JUN SUGAWARA TAMAOKI FERNANDO BALDY DOS REIS |
| author_sort | ALEX DE LIMA SANTOS |
| collection | DOAJ |
| description | ABSTRACT Introduction Tibia shaft fractures are among the most common in orthopedic practice, but Brazilian literature remains limited on the subject. Objective To evaluate the characteristics of tibia shaft fractures and conduct a comparison between exposed and closed fractures of the tibia. Methods This comparative prospective study examined all tibia shaft fractures admitted to our services over a twelve-month period. The cases were evaluated according to age, trauma mechanism, sex, associated fractures, treatment, hospital stay, and readmission rate during the six months after discharge. Results Fifty-three cases met the inclusion criteria. The average age was 36 years (SD 14.3) and 83% were males (p<0.001). Traffic accidents were responsible for 73.6% of fractures (p<0.001). Exposed fractures were found in 52.8% of the cases (p=0.56). When initial treatment consisted of stabilization with external fixation, these cases were more likely to be rehospitalized (p=0.009). Cases of open fracture also had longer hospital stays (p<0.001) and a higher readmission rate (p=0.028). Conclusion Open fractures are associated with more severe trauma, expressed in longer hospital stays and high rates of readmission. Cases of fracture which were initially treated with external fixation had a higher readmission rate. Level of Evidence II; Prospective comparative study. |
| first_indexed | 2024-12-17T20:16:06Z |
| format | Article |
| id | doaj.art-fa9380b761ab4db6a00d9be32aac7ff1 |
| institution | Directory Open Access Journal |
| issn | 1413-7852 |
| language | English |
| last_indexed | 2024-12-17T20:16:06Z |
| publishDate | 2018-06-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Acta Ortopédica Brasileira |
| spelling | doaj.art-fa9380b761ab4db6a00d9be32aac7ff12022-12-21T21:34:07ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522018-06-0126319419710.1590/1413-785220182603184073EVALUATION AND COMPARISON OF OPEN AND CLOSED TIBIA SHAFT FRACTURES IN A QUATERNARY REFERENCE CENTERALEX DE LIMA SANTOSCONRADO TAZIMA NITTAGUILHERME BONIGUSTAVO TADEU SANCHEZMARCEL JUN SUGAWARA TAMAOKIFERNANDO BALDY DOS REISABSTRACT Introduction Tibia shaft fractures are among the most common in orthopedic practice, but Brazilian literature remains limited on the subject. Objective To evaluate the characteristics of tibia shaft fractures and conduct a comparison between exposed and closed fractures of the tibia. Methods This comparative prospective study examined all tibia shaft fractures admitted to our services over a twelve-month period. The cases were evaluated according to age, trauma mechanism, sex, associated fractures, treatment, hospital stay, and readmission rate during the six months after discharge. Results Fifty-three cases met the inclusion criteria. The average age was 36 years (SD 14.3) and 83% were males (p<0.001). Traffic accidents were responsible for 73.6% of fractures (p<0.001). Exposed fractures were found in 52.8% of the cases (p=0.56). When initial treatment consisted of stabilization with external fixation, these cases were more likely to be rehospitalized (p=0.009). Cases of open fracture also had longer hospital stays (p<0.001) and a higher readmission rate (p=0.028). Conclusion Open fractures are associated with more severe trauma, expressed in longer hospital stays and high rates of readmission. Cases of fracture which were initially treated with external fixation had a higher readmission rate. Level of Evidence II; Prospective comparative study.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522018000300194&tlng=enTibial fracturesFractures, openFractures, closedProspective study |
| spellingShingle | ALEX DE LIMA SANTOS CONRADO TAZIMA NITTA GUILHERME BONI GUSTAVO TADEU SANCHEZ MARCEL JUN SUGAWARA TAMAOKI FERNANDO BALDY DOS REIS EVALUATION AND COMPARISON OF OPEN AND CLOSED TIBIA SHAFT FRACTURES IN A QUATERNARY REFERENCE CENTER Acta Ortopédica Brasileira Tibial fractures Fractures, open Fractures, closed Prospective study |
| title | EVALUATION AND COMPARISON OF OPEN AND CLOSED TIBIA SHAFT FRACTURES IN A QUATERNARY REFERENCE CENTER |
| title_full | EVALUATION AND COMPARISON OF OPEN AND CLOSED TIBIA SHAFT FRACTURES IN A QUATERNARY REFERENCE CENTER |
| title_fullStr | EVALUATION AND COMPARISON OF OPEN AND CLOSED TIBIA SHAFT FRACTURES IN A QUATERNARY REFERENCE CENTER |
| title_full_unstemmed | EVALUATION AND COMPARISON OF OPEN AND CLOSED TIBIA SHAFT FRACTURES IN A QUATERNARY REFERENCE CENTER |
| title_short | EVALUATION AND COMPARISON OF OPEN AND CLOSED TIBIA SHAFT FRACTURES IN A QUATERNARY REFERENCE CENTER |
| title_sort | evaluation and comparison of open and closed tibia shaft fractures in a quaternary reference center |
| topic | Tibial fractures Fractures, open Fractures, closed Prospective study |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522018000300194&tlng=en |
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