Research Snappy
  • Market Research Forum
  • Investment Research
  • Consumer Research
  • More
    • Advertising Research
    • Healthcare Research
    • Data Analysis
    • Top Companies
    • Latest News
No Result
View All Result
Research Snappy
No Result
View All Result

Two-Stage Combined Ortho-Plastic Management of Type IIIB Open Diaphyseal Tibial Fractures Requiring Flap Coverage: Is the Timing of Debridement and Coverage Associated With Outcomes?

researchsnappy by researchsnappy
December 1, 2019
in Healthcare Research
0
Two-Stage Combined Ortho-Plastic Management of Type IIIB Open Diaphyseal Tibial Fractures Requiring Flap Coverage: Is the Timing of Debridement and Coverage Associated With Outcomes?
399
SHARES
2.3k
VIEWS
Share on FacebookShare on Twitter

This article was originally published here

imageObjective:
To delineate whether timing to initial debridement and definitive treatment had an effect on patient outcomes in those undergoing 2-stage ortho-plastic management of Gustilo–Anderson type IIIB open tibial diaphyseal fractures.
Design:
Retrospective comparative cohort study over a 2-year period.
Setting:
Level 1 trauma center.
Patients/Participants:
A total of 148 patients were identified. After exclusion of ankle fractures, nondiaphyseal fractures and those who did not undergo 2-stage ortho-plastic management, 45 patients were eligible for final analysis.
Intervention:
Time to initial debridement and definitive management.
Main Outcome Measurement:
Deep infection. Secondary outcomes being nonunion and flap failure. Multiple linear regression was used for outcomes. We assumed a priori that P values of less than 0.05 were significant.
Results:
Mean age was 54 years (SD 23.0), with 28 men and 17 women. Over a mean 2-year follow-up, there were 4 (4/45) deep infections, 2 infection-associated flap failures, and 1 vascular flap failure. All patients progressed to union. The mean time to initial debridement for the whole cohort was 19 hours (SD 12.3), and the mean time to definitive reconstruction was 65 hours (SD 51.7). Longer time to both initial debridement and definitive reconstruction was not found to be significantly associated with deep infection, infected flap failure, or nonunion.
Conclusions:
Using a 2-stage ortho-plastic operative algorithm, timing to initial debridement and definitive fixation with soft-tissue coverage was not associated with negative outcomes.
Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

Previous Post

Envestnet Asset Management Inc. Sells 572 Shares of Inter Parfums, Inc. (NASDAQ:IPAR)

Next Post

Global Pulp Demand Currently Growing at a CAGR of 1.5-2.5 Percent, Says Beroe Inc

Next Post
Global Sea Food Market Currently Estimated at $147.04 Billion, Says Beroe Inc

Global Pulp Demand Currently Growing at a CAGR of 1.5-2.5 Percent, Says Beroe Inc

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

Research Snappy

Category

  • Advertising Research
  • Consumer Research
  • Healthcare Research
  • Investment Research

Times Free Press consumer columnist Ellen Phillips dies

The strange, underground world of ghost kitchens in Virginia

Donor backlash fuels GOP alarm about Senate fundraising

  • Privacy Policy
  • Terms of Use
  • Antispam
  • DMCA
  • Contact Us

© 2020 researchsnappy.com

No Result
View All Result
  • Market Research Forum
  • Investment Research
  • Consumer Research
  • More
    • Advertising Research
    • Healthcare Research
    • Data Analysis
    • Top Companies
    • Latest News

© 2020 researchsnappy.com