Elderly tibial shaft fractures: Open fractures are not associated with increased mortality rates

Injury
George CoxPeter V Giannoudis

Abstract

This study aims to assess whether elderly patients (>65 years) with open tibial shaft fractures (OFs) have increased mortality rates than those with closed fractures (CFs). Patients admitted during 2003-2005 with open/closed diaphyseal (AO 42) fractures of the tibia were eligible to participate. Pathological and peri-prosthetic fractures. A total of 54 patients (38 females) met the inclusion criteria. Twenty-six patients had sustained CF and 28 OF (Gustilo grade I (11), grade II (five), grade IIIa (two) and grade IIIb (10)). The OF group was statistically significantly different with higher injury severity score, secondary procedures and length of hospital stay (p<0.05). A higher rate of admission/length of stay to intensive care unit and complication rate was noted in the OF group. Mortality rate between the two groups was comparable (CF=2/26, OF=3/28). Elderly patients with OFs of the tibial shaft have similar mortality rate to those with CFs.

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Citations

Sep 11, 2012·Injury·Shanmuganathan Rajasekaran, Peter V Giannoudis
Nov 18, 2011·Scottish Medical Journal·R D Baxter, R M Madhok
Sep 3, 2013·The Bone & Joint Journal·N D ClementC M Court-Brown
Jul 27, 2018·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Ulrika TampeKarl-Åke Jansson
Dec 12, 2012·The Journal of Bone and Joint Surgery. American Volume·Julie A Switzer, Steven R Gammon
Jan 30, 2020·Journal of Clinical Orthopaedics and Trauma·Jessica SteeleAlex Trompeter

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