David Wennergren1,2, Carl Bergdahl3,4, Amanda Selse3, Jan Ekelund5, Mikael Sundfeldt4, Michael Möller3,4. 1. Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. david.wennergren@vgregion.se. 2. Department of Orthopaedics, Sahlgrenska University Hospital, SE-413 45, Mölndal, Gothenburg, Sweden. david.wennergren@vgregion.se. 3. Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. 4. Department of Orthopaedics, Sahlgrenska University Hospital, SE-413 45, Mölndal, Gothenburg, Sweden. 5. Centre of Registers, Western Healthcare Region, Gothenburg, Sweden.
Abstract
PURPOSE: Approximately, 50 persons per 100,000 per year sustain a tibial fracture. There is, however, a lack of large cohort studies that describe the treatment and re-operation frequencies of tibial fractures. The aim of this study was to describe the treatment and re-operation rates of tibial fractures in all segments of the tibia. METHODS: Data related to all patients aged 16 and above treated for tibial fractures (ICD-10 S82.10-31) at Sahlgrenska University Hospital in 2011-2015 were extracted from the Swedish Fracture Register. To make sure all re-operations were included in the study, the operation planning system was checked for all patients included in the study. RESULTS: The study comprised 1371 tibial fractures - 712 proximal, 417 diaphyseal and 242 distal tibial fractures. Among the proximal and distal tibial fractures, plate fixation was the most commonly used surgical method, whereas among tibial shaft fractures, an intramedullary nail was the most commonly used surgical method. Almost 30% (29.8%) of all surgically treated tibial fractures underwent re-operation. Among proximal tibial fractures, 24.0% underwent re-operation; tibial shaft fractures 37.0% and distal tibial fractures 26.8%. Re-operations due to infection were more or less equally common in all segments (3.9-5.4%). CONCLUSION: This study describes the treatment and re-operation rates after tibial fractures in a cohort of 1371 tibial fractures at Sahlgrenska University Hospital during a period of 5 years. The study shows an overall re-operation rate of 29.8% for fractures in all segments of the tibia.
PURPOSE: Approximately, 50 persons per 100,000 per year sustain a tibial fracture. There is, however, a lack of large cohort studies that describe the treatment and re-operation frequencies of tibial fractures. The aim of this study was to describe the treatment and re-operation rates of tibial fractures in all segments of the tibia. METHODS: Data related to all patients aged 16 and above treated for tibial fractures (ICD-10 S82.10-31) at Sahlgrenska University Hospital in 2011-2015 were extracted from the Swedish Fracture Register. To make sure all re-operations were included in the study, the operation planning system was checked for all patients included in the study. RESULTS: The study comprised 1371 tibial fractures - 712 proximal, 417 diaphyseal and 242 distal tibial fractures. Among the proximal and distal tibial fractures, plate fixation was the most commonly used surgical method, whereas among tibial shaft fractures, an intramedullary nail was the most commonly used surgical method. Almost 30% (29.8%) of all surgically treated tibial fractures underwent re-operation. Among proximal tibial fractures, 24.0% underwent re-operation; tibial shaft fractures 37.0% and distal tibial fractures 26.8%. Re-operations due to infection were more or less equally common in all segments (3.9-5.4%). CONCLUSION: This study describes the treatment and re-operation rates after tibial fractures in a cohort of 1371 tibial fractures at Sahlgrenska University Hospital during a period of 5 years. The study shows an overall re-operation rate of 29.8% for fractures in all segments of the tibia.
Authors: Patrick Henry; David Wasserstein; Michael Paterson; Hans Kreder; Richard Jenkinson Journal: J Orthop Trauma Date: 2015-04 Impact factor: 2.512
Authors: Mohit Bhandari; Gordon Guyatt; Paul Tornetta; Emil H Schemitsch; Marc Swiontkowski; David Sanders; Stephen D Walter Journal: J Bone Joint Surg Am Date: 2008-12 Impact factor: 5.284
Authors: David Wennergren; Carl Bergdahl; Jan Ekelund; Hans Juto; Mikael Sundfeldt; Michael Möller Journal: Injury Date: 2018-09-07 Impact factor: 2.586
Authors: David Wennergren; Stina Stjernström; Michael Möller; Mikael Sundfeldt; Carl Ekholm Journal: BMC Musculoskelet Disord Date: 2017-06-10 Impact factor: 2.362
Authors: Germán Garabano; Madeline C MacKechnie; Sebastian Pereira; Kelsey Brown; Michael J Flores; Cesar A Pesciallo; Theodore Miclau; Fernando Bidolegui Journal: JB JS Open Access Date: 2022-06-22
Authors: Michael Möller; Olof Wolf; Carl Bergdahl; Sebastian Mukka; Emilia Möller Rydberg; Nils P Hailer; Jan Ekelund; David Wennergren Journal: BMC Musculoskelet Disord Date: 2022-02-11 Impact factor: 2.362
Authors: Carl Bergdahl; David Wennergren; Eleonora Swensson-Backelin; Jan Ekelund; Michael Möller Journal: Acta Orthop Date: 2021-06-30 Impact factor: 3.717