Complications in type III open tibial shaft fractures treated with open reduction and internal fixation.
Aim: To estimate rates of fracture-related infection (FRI) and nonunion and assess the healthcare burden associated with FRI among patients with open reduction and internal fixation (ORIF) for Type III open tibial shaft fractures (TSFs). Methods: Patients with type III TSF requiring ORIF were identified using MarketScan® Database. Healthcare utilization and total costs were compared using generalized linear models. Results: The rates of FRI and nonunion were 35.99 and 36.94%, respectively, at 365 days. Patients with FRI had a significantly higher rate of readmission, emergency room visit and total healthcare costs compared with patients without FRI. Conclusion: Patients with an ORIF procedure for Type III TSF have a high risk of FRI and nonunion and; FRI significantly increased the healthcare burden.
['Chitnis|Abhishek S|AS|0000-0002-4334-4001', 'Vanderkarr|Mollie|M|', 'Sparks|Charisse|C|', 'McGlohorn|Jonathan|J|', 'Holy|Chantal E|CE|']
D000293:Adolescent D000328:Adult D016208:Databases, Factual D005260:Female D005593:Fracture Fixation, Internal D005102:Health Expenditures D006296:Health Services D006801:Humans D008297:Male D008875:Middle Aged D000070799:Open Fracture Reduction D012189:Retrospective Studies D013978:Tibial Fractures D015599:Trauma Severity Indices D016896:Treatment Outcome D055815:Young Adult
open reduction and internal fixation fracture-related infection nonunion healthcare utilization costs Gustilo Anderson Type III open fractures tibia shaft fractures