Incidence Rate and Factors Associated with Orthopedic Complications in Patients with Open Fractures Undergoing Internal Fixation Surgery
Keywords:
Orthopedic, open fracture, internal fixation surgeryAbstract
The objective of the research was to study the incidence rate and factors associated with orthopedic complications in patients with open fractures. This is a cross-sectional analytical study. (Cross-Sectional Analytical Study) by studying retrospective data. (Retrospective Study) between 2018 - 2022. The sample group is patients with open fractures. and receive treatment In Phon Thong Hospital Roi Et Province, a total of 253 people. The research instrument was a data copy form from medical records, including gender, age, body mass index, congenital diseases, smoking, and mechanism of injury. Injury location Severity level Surgery waiting time Surgery time Length of hospital stay Receiving antibiotics and developing orthopedic complications Analyze data with descriptive statistics and Multiple logistic regression Adjusted odds ratio at a significance level of 0.05.
The results of the research found that the incidence rate of orthopedic complications in 19 patients was 7.59%. Factors related to the occurrence of orthopedic complications in patients with open fractures were the degree of Severe according to Gustison and Anderson, it is associated with orthopedic complications in patients with open fractures. Statistically significant (OR adj = 3.66, 95 % CI =1.20 – 11.19, P-value < 0.05)
References
ธีรชัย อภิวรรธกกุล (บรรณาธิการ). (2558). เคล็ดลับทางออร์โธปิดิกส์. ภาควิชาออร์โทปิดิกส์ คณะแพทยศาสตร์ มหาวิทยาลัยเชียงใหม่.
วรงค์พร พงศ์ภิญโญภาพ. (2564). การศึกษาย้อนหลังเชิงติดตามผลการผ่าตัดที่ล่าช้าในผู้ป่วยกระดูกหักแบบบาดแผลเปิดในสถานการณ์ การแพร่ระบาดของโรคติดเชื้อไวรัสโคโรนา 2019 และอัตราการติดเชื้อแทรกซ้อนทางออร์โธปิดิกส์. วารสารแพทย์ เขต 4-5. https://he02.tci-thaijo.org/index.php/reg45/article/view/255542
Court-Brown, C. M., Bugler, K. E., Clement, N. D., Duckworth, A. D., & McQueen, M. M. (2012). The epidemiology of open fractures in adults. A 15-year review. Injury, 43(6), 891-897.
Gustilo RB, Corpuz V, Sherman RK. Epidemiology, Mortality, and Morbidity in Multiple Trauma Patients. Orthopedics. 1985;8(12):1523-8.
Kortram, K., Bezstarosti, H., Metsemakers, W. J., Raschke, M. J., Van Lieshout, E. M. M., & Verhofstad, M. H. J. (2017). Risk factors for infectious complications after open fractures; a systematic review and meta-analysis. International orthopedics, 41(10), 1965–1982. https://doi.org/10.1007/s00264-017-3556-5
Kulthanan T, Songcharoen P. (2008). Orthopedic texts 1. Bangkok: Media Press Limited Partnership (in Thai)
Meesters, D. M., Wijnands, K. A., Brink, P. R., & Poeze, M. (2018). Malnutrition and fracture healing: are specific deficiencies in amino acids important in nonunion development?. Nutrients, 10(11), 1597.
Rti. ddc. moph.go.th. (2019). Bureau of Non-Communicable Disease [NCD] All rights reserved.. [online] Available at: http://rti.ddc.moph.go.th/ RTDDI/Modules/Report/Report11.aspx [Accessed 6 Jun. 2019].
Salminen S. (2005). Femoral shaft fracture in adult: Epidemiology, fracture patients, nonunions, and fatigue fracture: A clinical study. Helsinki: The faculty of medicine of the University of Helsinki
Tornetta III, P., Della Rocca, G. J., Morshed, S., Jones, C., Heels-Ansdell, D., Sprague, S., ... & Bhandari, M. (2020). Risk factors associated with infection in open fractures of the upper and lower extremities. JAAOS Global Research & Reviews, 4(12).
Wilairat W. (2016). Fractures of the frontal tibia. http://ortho.md.chula.ac.th/student/SHEET/shin-va.pdf
