Isolated open tibial shaft fracture: a seven-hospital, prospective observational study in two Latin America countries
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Colégio Brasileiro de Cirurgiões |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100249 |
Resumo: | ABSTRACT Introduction: open tibial fractures are challenging due to the frequent severe bone injury associated with poor soft tissue conditions. This is relevant in low- and middle-income countries, mainly related to delayed definitive fixation and lack of adequate training in soft tissue coverage procedures. Due to these factors, open tibial fracture is an important source of disability for Latin American countries. Herein we sought to provide an epidemiological overview of isolated open tibial shaft fracture across seven hospitals in southern cone of Latin America. The secondary goal was to assess the impact on quality of life based on return-to-work rate (RWR). Methods: patients with an isolated open tibial shaft fracture treated in seven different hospitals from Brazil and Argentina from November 2017 to March 2020 were included in the study. Clinical and radiographic results were evaluated throughout the 120-day follow-up period. Final evaluation compared RWR with the SF-12 questionnaire, bone healing, and gait status. Results: Seventy-two patients were treated, 57 followed for 120 days and 48 completed the SF-12 questionnaire. After 120 days, 70.6% had returned to work, 61.4% had experienced bone healing. Age, antibiotic therapy, type of definitive treatment, and infection significantly influenced the RWR. Gait status exhibited strong correlations with RWR and SF-12 physical component score. Conclusions: Isolated open tibial shaft fractures are potentially harmful to the patient’s quality of life after 120 days of the initial management. RWR is significantly higher for younger patients, no history of infection, and those who could run in the gait status assessment. |
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Isolated open tibial shaft fracture: a seven-hospital, prospective observational study in two Latin America countriesFractures, OpenTibial FractureReturn-to-WorkTreatment OutcomeFracture HealingABSTRACT Introduction: open tibial fractures are challenging due to the frequent severe bone injury associated with poor soft tissue conditions. This is relevant in low- and middle-income countries, mainly related to delayed definitive fixation and lack of adequate training in soft tissue coverage procedures. Due to these factors, open tibial fracture is an important source of disability for Latin American countries. Herein we sought to provide an epidemiological overview of isolated open tibial shaft fracture across seven hospitals in southern cone of Latin America. The secondary goal was to assess the impact on quality of life based on return-to-work rate (RWR). Methods: patients with an isolated open tibial shaft fracture treated in seven different hospitals from Brazil and Argentina from November 2017 to March 2020 were included in the study. Clinical and radiographic results were evaluated throughout the 120-day follow-up period. Final evaluation compared RWR with the SF-12 questionnaire, bone healing, and gait status. Results: Seventy-two patients were treated, 57 followed for 120 days and 48 completed the SF-12 questionnaire. After 120 days, 70.6% had returned to work, 61.4% had experienced bone healing. Age, antibiotic therapy, type of definitive treatment, and infection significantly influenced the RWR. Gait status exhibited strong correlations with RWR and SF-12 physical component score. Conclusions: Isolated open tibial shaft fractures are potentially harmful to the patient’s quality of life after 120 days of the initial management. RWR is significantly higher for younger patients, no history of infection, and those who could run in the gait status assessment.Colégio Brasileiro de Cirurgiões2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100249Revista do Colégio Brasileiro de Cirurgiões v.49 2022reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-6991e-20223301-eninfo:eu-repo/semantics/openAccessBELANGERO,WILLIAM DIASFOGAGNOLO,FABRICIOKOJIMA,KODI EDSONMIGUEL,GUILHERME CHOHFI DEBIDOLEGUI,FERNANDOBERTUNE,ALEJANDRO DANIELLOMBARDO,ERNESTODIAS,ADÉLIO DE LIMATORRES,JOÃO BATISTA MANZOLICOUTINHO,BRUNO PARILHASILVA,JORGE DOS SANTOSLEONHARDT,MARCOS DE CAMARGOPEREIRA,PABLO SEBASTIÁNMARIOLANI,JOSÉ RICARDO LENZIGIORDANO,VINCENZOeng2022-11-23T00:00:00Zoai:scielo:S0100-69912022000100249Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2022-11-23T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Isolated open tibial shaft fracture: a seven-hospital, prospective observational study in two Latin America countries |
title |
Isolated open tibial shaft fracture: a seven-hospital, prospective observational study in two Latin America countries |
spellingShingle |
Isolated open tibial shaft fracture: a seven-hospital, prospective observational study in two Latin America countries BELANGERO,WILLIAM DIAS Fractures, Open Tibial Fracture Return-to-Work Treatment Outcome Fracture Healing |
title_short |
Isolated open tibial shaft fracture: a seven-hospital, prospective observational study in two Latin America countries |
title_full |
Isolated open tibial shaft fracture: a seven-hospital, prospective observational study in two Latin America countries |
title_fullStr |
Isolated open tibial shaft fracture: a seven-hospital, prospective observational study in two Latin America countries |
title_full_unstemmed |
Isolated open tibial shaft fracture: a seven-hospital, prospective observational study in two Latin America countries |
title_sort |
Isolated open tibial shaft fracture: a seven-hospital, prospective observational study in two Latin America countries |
author |
BELANGERO,WILLIAM DIAS |
author_facet |
BELANGERO,WILLIAM DIAS FOGAGNOLO,FABRICIO KOJIMA,KODI EDSON MIGUEL,GUILHERME CHOHFI DE BIDOLEGUI,FERNANDO BERTUNE,ALEJANDRO DANIEL LOMBARDO,ERNESTO DIAS,ADÉLIO DE LIMA TORRES,JOÃO BATISTA MANZOLI COUTINHO,BRUNO PARILHA SILVA,JORGE DOS SANTOS LEONHARDT,MARCOS DE CAMARGO PEREIRA,PABLO SEBASTIÁN MARIOLANI,JOSÉ RICARDO LENZI GIORDANO,VINCENZO |
author_role |
author |
author2 |
FOGAGNOLO,FABRICIO KOJIMA,KODI EDSON MIGUEL,GUILHERME CHOHFI DE BIDOLEGUI,FERNANDO BERTUNE,ALEJANDRO DANIEL LOMBARDO,ERNESTO DIAS,ADÉLIO DE LIMA TORRES,JOÃO BATISTA MANZOLI COUTINHO,BRUNO PARILHA SILVA,JORGE DOS SANTOS LEONHARDT,MARCOS DE CAMARGO PEREIRA,PABLO SEBASTIÁN MARIOLANI,JOSÉ RICARDO LENZI GIORDANO,VINCENZO |
author2_role |
author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
BELANGERO,WILLIAM DIAS FOGAGNOLO,FABRICIO KOJIMA,KODI EDSON MIGUEL,GUILHERME CHOHFI DE BIDOLEGUI,FERNANDO BERTUNE,ALEJANDRO DANIEL LOMBARDO,ERNESTO DIAS,ADÉLIO DE LIMA TORRES,JOÃO BATISTA MANZOLI COUTINHO,BRUNO PARILHA SILVA,JORGE DOS SANTOS LEONHARDT,MARCOS DE CAMARGO PEREIRA,PABLO SEBASTIÁN MARIOLANI,JOSÉ RICARDO LENZI GIORDANO,VINCENZO |
dc.subject.por.fl_str_mv |
Fractures, Open Tibial Fracture Return-to-Work Treatment Outcome Fracture Healing |
topic |
Fractures, Open Tibial Fracture Return-to-Work Treatment Outcome Fracture Healing |
description |
ABSTRACT Introduction: open tibial fractures are challenging due to the frequent severe bone injury associated with poor soft tissue conditions. This is relevant in low- and middle-income countries, mainly related to delayed definitive fixation and lack of adequate training in soft tissue coverage procedures. Due to these factors, open tibial fracture is an important source of disability for Latin American countries. Herein we sought to provide an epidemiological overview of isolated open tibial shaft fracture across seven hospitals in southern cone of Latin America. The secondary goal was to assess the impact on quality of life based on return-to-work rate (RWR). Methods: patients with an isolated open tibial shaft fracture treated in seven different hospitals from Brazil and Argentina from November 2017 to March 2020 were included in the study. Clinical and radiographic results were evaluated throughout the 120-day follow-up period. Final evaluation compared RWR with the SF-12 questionnaire, bone healing, and gait status. Results: Seventy-two patients were treated, 57 followed for 120 days and 48 completed the SF-12 questionnaire. After 120 days, 70.6% had returned to work, 61.4% had experienced bone healing. Age, antibiotic therapy, type of definitive treatment, and infection significantly influenced the RWR. Gait status exhibited strong correlations with RWR and SF-12 physical component score. Conclusions: Isolated open tibial shaft fractures are potentially harmful to the patient’s quality of life after 120 days of the initial management. RWR is significantly higher for younger patients, no history of infection, and those who could run in the gait status assessment. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100249 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100249 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-6991e-20223301-en |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.49 2022 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
instname_str |
Colégio Brasileiro de Cirurgiões (CBC) |
instacron_str |
CBC |
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CBC |
reponame_str |
Revista do Colégio Brasileiro de Cirurgiões |
collection |
Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
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||revistacbc@cbc.org.br |
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1754209215498420224 |