medigraphic.com
ISSN 2007-8560 (Print)
Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2022, Number 1

<< Back Next >>

Ortho-tips 2022; 18 (1)

Postsurgical complications and possible associated risk factors in patients with diaphyseal fractures of the femur or tibia treated at Hospital General de Mexicali, from January 2018 to January 2020

Estavillo MN, Salcido RMV, Quintero BRI

Language: Spanish
References: 15
Page: 8-15
PDF size: 233.33 Kb.


ABSTRACT

Globally, there is a high rate of postsurgical complications in patients with diaphyseal fractures of the femur and tibia, however, these vary widely depending on their associated risk factors. Based on the information obtained in the electronic medical record, a retrospective study was carried out which described the main post-surgical complications in the management of diaphyseal fractures of the femur and tibia, as well as their associated risk factors, in 144 patients treated at Hospital General de Mexicali, during the period from January 2018 to January 2020. Said complications are infection (surgical site, osteosynthesis material or osteomyelitis), pseudoarthrosis (atrophic or hypertrophic) and orthopedic implant failure. By having evidence on the correlation of post-surgical complications with their respective causes and associated risk factors, it will be possible to create new management algorithms and update the surgical techniques used, to significantly reduce the incidence of unfavorable short, medium and long term results in patients of the General Hospital of Mexicali.


REFERENCES

  1. Hungria JOS, Mercadante MT. Fratura exposta da diáfise da tíbia – tratamento com osteossíntese intramedular após estabilização provisória com fixador externo nao transfixante. Ver Bras Ortop. 2013; 48 (6): 482-490.

  2. Hak DJ, Fitzpatrick D, Bishop JA, Marsh JL, Tilp S, Schnettler R, et al. Delayed union and nonunions: epidemiology, clinical issues, and financial aspects. Injury. 2014; 45 Suppl 2: S3-S7.

  3. Gutiérrez Blanco MO, Leyva Basterrechea F, Álvarez López A. Retardo de consolidación y seudoartrosis de la tibia. Rev Cub Med Mil. 2009; 38 (1).

  4. Court-Brown CM, Keating JF, McQueen MM. Infection after intramedullary nailing of the tibia. Incidence and protocol for management. J Bone Joint Surg Br. 1992; 74 (5): 770-774.

  5. Singh J, Rambani R, Hashim Z, Raman R, Sharma HK. The relationship between time to surgical debridement and incidence of infection in grade III open fractures. Strategies Trauma Limb Reconstr. 2012; 7 (1): 33-37.

  6. Doshi P, Gopalan H, Sprague S, Pradhan C, Kulkarni S, Bhandari M. Incidence of infection following internal fixation of open and closed tibia fractures in India (INFINITI): a multi-centre observational cohort study. BMC Musculoskelet Disord. 2017; 18 (1): 156.

  7. Pretell Mazzini JA, Ruiz Semba C, Rodríguez Martín J. Trastornos de la consolidación: retardo y pseudoartrosis. Rev Med Hered. 2009; 20 (1): 31-39.

  8. Ramos-Maza E, García-Estrada F, Domínguez-Barrios C, Chávez-Covarrubias G, Meza-Reyes G, Buffo-Sequeira I. Principios biomecánicos para la osteosíntesis, re-evolución. Acta Ortop Mex. 2016; 30 (Suppl: 1): 1-8.

  9. Altmann M, Cognet JM, Eschbach L, Gasser B, Richards G, Simon P. Materiales utilizados en la osteosíntesis. EMC - Técnicas Quirúrgicas - Ortopedia y Traumatología. 2009; 1 (1): 1-8.

  10. Parr WCH, Wang T, Tan C, Dan MJ, Walsh WR, Morberg P. Fatigue implications for bending orthopaedic plates. Injury. 2021; 52 (10): 2896-2902.

  11. Concha Sandoval JM, Osma Rueda JL, Sandoval Daza A. Management of diaphyseal tibial fractures by plate fixation with absolute or relative stability: a retrospective study of 45 patients. Trauma Surg Acute Care Open. 2017; 2 (1): e000029.

  12. Malik MH, Harwood P, Diggle P, Khan SA. Factors affecting rates of infection and nonunion in intramedullary nailing. J Bone Joint Surg Br. 2004; 86 (4): 556-560.

  13. Saleeb H, Tosounidis T, Papakostidis C, Giannoudis PV. Incidence of deep infection, union and malunion for open diaphyseal femoral shaft fractures treated with IM nailing: a systematic review. Surgeon. 2019; 17 (5): 257-269.

  14. Oliveira PR, Leonhardt MC, Carvalho VC, Kojima KE, Silva JS, Rossi F, et al. Incidence and risk factors associated with infection after intramedullary nailing of femoral and tibial diaphyseal fractures: prospective study. Injury. 2018; 49 (10): 1905-1911.

  15. Guía de Práctica Clínica. Diagnóstico y tratamiento de las Infecciones Asociadas a Dispositivos das a Dispositivos Ortopédicos Prótesis y/o material de osteosíntesis. México: Instituto Mexicano del Seguro Social; 2013.




2020     |     www.medigraphic.com