PMID: 9191678May 1, 1997Paper

Reemployment of patients with surgical salvage of open, high-energy tibial fractures: an outcome study

The Journal of Trauma
G A ArangioJ F Reed

Abstract

Between January 1, 1988, and December 31, 1990, 36 patients with 37 type III high-energy open tibial shaft fractures were treated at Lehigh Valley Hospital. Patients with primary amputations were excluded. All patients with high-energy open tibial fractures with an intact posterior tibial nerve, protective sensations of the plantar surface of the foot, and warm ischemia time of less than 6 hours were considered salvageable. A retrospective review of the charts was completed. Twenty-eight patients with 29 fractures were interviewed for work status, an average of 39 months after treatment. Twenty-five patients with 25 fractures were working at the time of the accident. Three patients with four fractures were not working at the time of the accident. Nineteen of 25 patients (76%) returned to work. Sixteen of 25 patients (64%) returned to work at a similar level of manual labor. The average delay between injury and return to work was 11 months (range, 3-18 months). Two of the 36 patients (5.5%) required secondary amputations. Twenty-five of 28 patients (89%) interviewed reported one or more subjective complaints. The two amputees reported no subjective complaints.

References

Mar 1, 1985·The Journal of Trauma·R H LangeK H Johansen
Oct 1, 1995·The Journal of Trauma·G JurkovichM Swiontkowski
Oct 1, 1993·The Journal of Bone and Joint Surgery. American Volume·G M GeorgiadisA L Simmons
Jan 1, 1993·Journal of Orthopaedic Trauma·R T LaughlinJ M Hayes
Apr 1, 1993·The Journal of Trauma·E J MacKenzieM F Swiontkowski

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Citations

Dec 27, 2011·Journal of Orthopaedic Trauma·Heather A VallierBrendan M Patterson
Apr 11, 2012·Journal of Orthopaedic Trauma·Martin L BlumFranklin L Rosenfeldt
Dec 3, 2009·Plastic and Reconstructive Surgery·Kevin C ChungGautam Kaul
Feb 28, 2001·Anesthesia and Analgesia·F DexterD A Lubarsky
Sep 21, 2011·Clinical Orthopaedics and Related Research·P Maxwell CourtneyJaimo Ahn
Apr 25, 2012·The Journal of Bone and Joint Surgery. British Volume·A SoniP V Giannoudis
Feb 25, 2006·The Journal of Bone and Joint Surgery. British Volume·S B NaiqueJ Nanchahal
Sep 28, 2006·The Journal of the American Academy of Orthopaedic Surgeons·Ellen J MacKenzie, Michael J Bosse
Mar 12, 2021·Injury·Alexander T SchadeAndrew J Metcalfe

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