Noncontiguous and open fractures of the lower extremity: Epidemiology, complications, and unplanned procedures

Injury
Andrew T Chen, Heather A Vallier

Abstract

Isolated fractures of the lower extremity are relatively common injuries while multifocal injuries resulting from high-energy trauma are less frequently encountered. Our objectives are to characterise patients who sustained multiple noncontiguous fractures and open fractures of the lower extremity, report the incidence of major complications, and identify factors that may contribute to complications and unplanned re-operations. A retrospective review of patients was performed at a Level 1 trauma centre from 2000 to 2013. Patients who sustained two or more noncontiguous operative fractures in an ipsilateral lower extremity, with at least one open fracture were included. Noncontiguous was defined as fractures in the same lower limb that were not in continuity on preoperative radiographs or intra-operatively. Demographic, injury characteristics, and hospitalisation data were collected. Primary outcomes included non-union, deep infection, and the need for unplanned surgeries. 257 patients sustained a total of 876 lower extremity fractures with an average of 1.7 open and 2.7 operative fractures in the qualifying limb. Ninety-nine patients (38.5%) sustained bilateral lower extremity injuries. Following their initial stay, 22.6% of pa...Continue Reading

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Citations

Nov 9, 2016·Journal of Orthopaedics·Mitchell C BirtJinxi Wang
Apr 8, 2017·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Krystle A BlanchetteJoseph C Wenke
Apr 24, 2018·World Journal of Emergency Surgery : WJES·F S WürdemannF Hietbrink
Jul 16, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Heather A Vallier, Givenchy W Manzano
Jun 29, 2018·EFORT Open Reviews·Abdel Rahim Elniel, Peter V Giannoudis
Mar 25, 2021·JAMA Surgery·UNKNOWN Major Extremity Trauma Research Consortium (METRC)Mary Zadnik
Sep 3, 2020·British Journal of Pharmacology·Shuting SunFrank H Ebetino

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