Please use this identifier to cite or link to this item: https://hdl.handle.net/10137/5839
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dc.contributor.authorAshford RUen
dc.contributor.authorMehta JAen
dc.contributor.authorCripps Ren
dc.date.accessioned2018-05-15T23:02:02Zen
dc.date.available2018-05-15T23:02:02Zen
dc.date.issued2004-04en
dc.identifier.citationInjury 2004-04; 35(4): 411-6en
dc.identifier.issn0020-1383en
dc.identifier.urihttps://hdl.handle.net/10137/5839en
dc.description.abstractThe management of open tibial fractures is a challenge to all orthopaedic trauma surgeons. The major goals are fracture union, uncomplicated soft tissue healing and return to pre-injury level of function. The geographical isolation and vastness of the Northern Territory of Australia complicates the management of these injuries by adding a significant delay to treatment. Forty-five patients sustained 48 open tibial fractures over the 30-month period of the study. Twelve received primary surgical treatment within 6h of injury but 33 were treated more than 6h after injury. The mean time to treatment in this latter group was 12h 15min (median 9h 45min, range 6-37h). The majority of injuries were high energy, with 23 patients having multiple injuries and 29 fractures (60%) being classified as AO C3 with 35 (73%) having Gustilo III soft tissue injuries. There was a mean time to union of 7.5 months and an overall complication rate of 42.2%. Thirteen patients (29%) required additional (late) surgical procedures subsequent to definitive fracture and soft tissue management. The zone of injury infection rate was 12.5%. The high incidence of open tibial fractures places a large financial burden on the state. However, despite the absence of a plastic surgical service and delays in presentation, satisfactory outcomes can be obtained by the application of the established surgical principles of thorough debridement, soft tissue management and fracture stabilisation.en
dc.language.isoengen
dc.titleDelayed presentation is no barrier to satisfactory outcome in the management of open tibial fractures.en
dc.typeJournal Articleen
dc.identifier.journaltitleInjuryen
dc.identifier.doi10.1016/S0020-1383(03)00236-5en
dc.identifier.pubmedidhttps://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed//15037377en
dc.subject.meshAdolescenten
dc.subject.meshAdulten
dc.subject.meshFemaleen
dc.subject.meshFracture Fixationen
dc.subject.meshFractures, Openen
dc.subject.meshFractures, Ununiteden
dc.subject.meshHumansen
dc.subject.meshLength of Stayen
dc.subject.meshMaleen
dc.subject.meshMiddle Ageden
dc.subject.meshRetrospective Studiesen
dc.subject.meshSoft Tissue Injuriesen
dc.subject.meshTibial Fracturesen
dc.subject.meshTime Factorsen
dc.subject.meshTreatment Outcomeen
dc.identifier.affiliationDepartment of Orthopaedic & Trauma Surgery, Royal Darwin Hospital, Casuarina NT0811, Australia. robert.ashford@virgin.net.en
Appears in Collections:(a) NT Health Research Collection

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