A delay in flap coverage of open midshaft tibia fractures increases complications: A retrospective study
Background: This retrospective study aimed to assess whether delaying flap coverage in open midshaft tibia fractures leads to higher infection rates. Methods: Patients were recruited retrospectively from a tertiary trauma database between 2012 and 2020. Patients included were over 18-years old and h...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2024-12-01
|
| Series: | Journal of Orthopaedics, Trauma and Rehabilitation |
| Online Access: | https://doi.org/10.1177/22104917231225970 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846143821935542272 |
|---|---|
| author | Ahmed Mahmoud Jarrod Younger Emily Morris Matthew Hope |
| author_facet | Ahmed Mahmoud Jarrod Younger Emily Morris Matthew Hope |
| author_sort | Ahmed Mahmoud |
| collection | DOAJ |
| description | Background: This retrospective study aimed to assess whether delaying flap coverage in open midshaft tibia fractures leads to higher infection rates. Methods: Patients were recruited retrospectively from a tertiary trauma database between 2012 and 2020. Patients included were over 18-years old and had an open tibia fracture that required flap coverage with at least 6 months follow-up. The collected complications were deep infections, aseptic non-union, flap failure and revision surgery. Results: Group-A ( n = 18) and Group-B ( n = 37) were analysed. Deep infections rate was 6% in Group-A and 38% in Group-B which was significantly different, χ 2 (1, N = 55) = 6.4, p = 0.01. The rate of revision surgery was 17% in Group-A and 54% in Group-B and was significant, χ 2 (1, N = 55) = 7, p = 0.008. Binary logistic regression showed that Group-B were 10 times more likely to develop a deep infection (95% confidence interval 1.2–83, p = 0.034). Conclusion: Delaying soft tissue coverage of open tibia fractures for over a week increases the risk of deep infection and revision surgery. |
| format | Article |
| id | doaj-art-d3c62ff0810c4235b774df50b5a5340a |
| institution | Kabale University |
| issn | 2210-4925 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedics, Trauma and Rehabilitation |
| spelling | doaj-art-d3c62ff0810c4235b774df50b5a5340a2024-12-02T10:04:38ZengSAGE PublishingJournal of Orthopaedics, Trauma and Rehabilitation2210-49252024-12-013110.1177/22104917231225970A delay in flap coverage of open midshaft tibia fractures increases complications: A retrospective studyAhmed Mahmoud0Jarrod Younger1Emily Morris2Matthew Hope3 , St Lucia, Australia , Gold Coast, Australia , Gold Coast, Australia , St Lucia, AustraliaBackground: This retrospective study aimed to assess whether delaying flap coverage in open midshaft tibia fractures leads to higher infection rates. Methods: Patients were recruited retrospectively from a tertiary trauma database between 2012 and 2020. Patients included were over 18-years old and had an open tibia fracture that required flap coverage with at least 6 months follow-up. The collected complications were deep infections, aseptic non-union, flap failure and revision surgery. Results: Group-A ( n = 18) and Group-B ( n = 37) were analysed. Deep infections rate was 6% in Group-A and 38% in Group-B which was significantly different, χ 2 (1, N = 55) = 6.4, p = 0.01. The rate of revision surgery was 17% in Group-A and 54% in Group-B and was significant, χ 2 (1, N = 55) = 7, p = 0.008. Binary logistic regression showed that Group-B were 10 times more likely to develop a deep infection (95% confidence interval 1.2–83, p = 0.034). Conclusion: Delaying soft tissue coverage of open tibia fractures for over a week increases the risk of deep infection and revision surgery.https://doi.org/10.1177/22104917231225970 |
| spellingShingle | Ahmed Mahmoud Jarrod Younger Emily Morris Matthew Hope A delay in flap coverage of open midshaft tibia fractures increases complications: A retrospective study Journal of Orthopaedics, Trauma and Rehabilitation |
| title | A delay in flap coverage of open midshaft tibia fractures increases complications: A retrospective study |
| title_full | A delay in flap coverage of open midshaft tibia fractures increases complications: A retrospective study |
| title_fullStr | A delay in flap coverage of open midshaft tibia fractures increases complications: A retrospective study |
| title_full_unstemmed | A delay in flap coverage of open midshaft tibia fractures increases complications: A retrospective study |
| title_short | A delay in flap coverage of open midshaft tibia fractures increases complications: A retrospective study |
| title_sort | delay in flap coverage of open midshaft tibia fractures increases complications a retrospective study |
| url | https://doi.org/10.1177/22104917231225970 |
| work_keys_str_mv | AT ahmedmahmoud adelayinflapcoverageofopenmidshafttibiafracturesincreasescomplicationsaretrospectivestudy AT jarrodyounger adelayinflapcoverageofopenmidshafttibiafracturesincreasescomplicationsaretrospectivestudy AT emilymorris adelayinflapcoverageofopenmidshafttibiafracturesincreasescomplicationsaretrospectivestudy AT matthewhope adelayinflapcoverageofopenmidshafttibiafracturesincreasescomplicationsaretrospectivestudy AT ahmedmahmoud delayinflapcoverageofopenmidshafttibiafracturesincreasescomplicationsaretrospectivestudy AT jarrodyounger delayinflapcoverageofopenmidshafttibiafracturesincreasescomplicationsaretrospectivestudy AT emilymorris delayinflapcoverageofopenmidshafttibiafracturesincreasescomplicationsaretrospectivestudy AT matthewhope delayinflapcoverageofopenmidshafttibiafracturesincreasescomplicationsaretrospectivestudy |