Prognostic factors identified for intramedullary tibial nailing

October 21, 2012
Prognostic factors identified for intramedullary tibial nailing
Fracture and surgical factors have been identified for the prediction of adverse outcomes after intramedullary nailing of tibial shaft fractures, according to a study published in the Oct. 3 issue of The Journal of Bone & Joint Surgery.

(HealthDay)—Fracture and surgical factors have been identified for the prediction of adverse outcomes after intramedullary nailing of tibial shaft fractures, according to a study published in the Oct. 3 issue of The Journal of Bone & Joint Surgery.

Emil H. Schemitsch, M.D., from McMaster University in Hamilton, Canada and associates reviewed data from a multicenter trial of reamed and unreamed intramedullary nailing of tibial shaft fractures in 1,226 . The correlation of baseline and surgical factors with negative outcomes was assessed.

The researchers found that the odds of negative events were significantly increased for patients with a high energy mechanism of injury (odds ratio [OR], 1.57); stainless steel versus titanium nail (OR, 1.52); a fracture gap (OR, 2.40); and full weight-bearing status after surgery (OR, 1.63). The use of nonsteroidal anti-inflammatory agents, late or early time to surgery, and smoking status did not correlate with increased risk. For patients treated with reamed nailing, open fractures had a higher risk of events (OR, 3.26), but this was not seem for patients treated with unreamed nailing. A decreased risk of events was seen for patients with open fractures who had wound management without any additional procedures (OR, 0.18) or with delayed primary closure (OR, 0.29), compared with patients who needed subsequent, more complex reconstruction.

"We identified several baseline fracture and surgical characteristics that may increase the risk of adverse events in patients with tibial shaft fractures," the authors write. "Surgeons should consider the predictors identified in our analysis to inform patients treated for tibial shaft ."

One or more of the authors disclosed financial ties to a third party in support of this work and/or an entity in the biomedical arena.

Explore further: Treatment with bisphosphonates associated with increased risk of atypical femoral fractures

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Treatment with bisphosphonates associated with increased risk of atypical femoral fractures

May 21, 2012
Treatment with bisphosphonate therapy appears to be associated with an increased risk of atypical fractures of the femur, according to a report published Online First by Archives of Internal Medicine.

Hip fracture surgery type impacts future fracture risk

March 17, 2012
(HealthDay) -- Patients with a primary proximal femoral fracture who undergo closed reduction and percutaneous pinning have a significantly increased risk of subsequent contralateral hip fracture compared with those who undergo ...

Similar outcomes of surgical vs. nonsurgical treatment for cervical spine fracture

May 16, 2012
For older adults with "C2" fractures of the upper (cervical) spine, surgery and nonsurgical treatment provide similar short- and long-term outcomes, reports a study in the May issue of Neurosurgery, official journal of the ...

Spondylolisthesis linked to spinous process fractures

June 2, 2012
(HealthDay) -- There is a strong association between degenerative spondylolisthesis and spinous process fracture in patients undergoing interspinous process spacer (IPS) surgery, according to a study published online May ...

Infection rates unaffected by time to debridement of open fx

July 3, 2012
(HealthDay) -- There is no association between infection rates and time to operative debridement of open fractures, according to research published in the June 20 issue of The Journal of Bone & Joint Surgery.

Recommended for you

Smoking raises risk of aneurysm recurrence after endovascular treatment

August 17, 2017
In a new study, researchers report people who have experienced an aneurysm have another reason to quit smoking.

Study adds to evidence that most prescribed opioid pills go unused

August 2, 2017
In a review of half a dozen published studies in which patients self-reported use of opioids prescribed to them after surgery, researchers at Johns Hopkins report that a substantial majority of patients used only some or ...

Engineers harness the power of 3-D printing to help train surgeons, shorten surgery times

August 2, 2017
A team of engineers and pediatric orthopedic surgeons are using 3D printing to help train surgeons and shorten surgeries for the most common hip disorder found in children ages 9 to 16. In a recent study, researchers showed ...

World's first child hand transplant a 'success'

July 19, 2017
The first child in the world to undergo a double hand transplant is now able to write, feed and dress himself, doctors said Tuesday, declaring the ground-breaking operation a success after 18 months.

Knee surgery—have we been doing it wrong?

July 18, 2017
A team of University at Buffalo medical doctors have published a study that challenges a surgical practice used for decades during arthroscopic knee surgery.

New tools help surgeons find liver tumors, not nick blood vessels

July 17, 2017
The liver is a particularly squishy, slippery organ, prone to shifting both deadly tumors and life-preserving blood vessels by inches between the time they're discovered on a CT scan and when the patient is lying on an operating ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.