Infection Rate of Intramedullary Nailing in Closed Fractures of the Femoral Diaphysis After Temporizing External Fixation in an Austere Environment

Journal of Orthopaedic Trauma
Joseph W GalvinEdward D Arrington

Abstract

To determine the infection rate of intramedullary (IM) nailing of closed diaphyseal femur fractures after temporary stabilization with external fixation in an austere combat environment. Retrospective case series. Iraq and Afghanistan Theater and Military Medical Treatment Centers in the United States and Landstuhl, Germany. Military personnel who underwent temporizing external fixation of a closed diaphyseal femur fracture (OTA 32) with later conversion to an IM nail between 2003 and 2012. Patients were identified from the Joint Theater Trauma Registry and Department of Defense electronic medical record, and a retrospective review was performed. Variables measured included age, gender, mechanism of injury, Injury Severity Score, associated injuries (to include thoracic and abdominal injuries), base deficit, history of massive transfusion, date of injury, date and place of external and IM fixations, time to conversion procedure, report of superficial or deep infection, report of fracture union, and date of last follow-up. One hundred twenty-two patients, mean age 25 (18-43) years, sustained 125 closed femoral diaphyseal fractures from May 2003 to July 2012. External fixation was performed at a mean of 0.2 days (median of the da...Continue Reading

Associated Clinical Trials

May 10, 2017·Priscila Rosalba Domingos de OliveiraPriscila Rosalba Domingos de Oliveira

References

Sep 16, 2000·The Journal of Bone and Joint Surgery. British Volume·M J Coughlin
Jan 29, 2005·Journal of Orthopaedic Trauma·Mohit BhandariDavid C Templeman
Aug 16, 2005·Journal of the Royal Army Medical Corps·J C Clasper, S L Phillips
May 2, 2006·Journal of Orthopaedic Trauma·Paul J HarwoodHans-Christoph Pape
Sep 4, 2009·The Journal of the American Academy of Orthopaedic Surgeons·Hans-Christoph PapeSteven A Olson
Oct 13, 2009·The Journal of Trauma·Rupal M ModyGlenn Wortmann

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Citations

Nov 21, 2015·Journal of the Royal Army Medical Corps·Max TalbotP Schneider
Jul 20, 2017·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·G PolatÖ Kiliçoğlu

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