Complications in type III open tibial shaft fractures treated with open reduction and internal fixation

To estimate rates of fracture-related infection (FRI) and nonunion and assess the healthcare burden associated with FRI among patients with open reduction and internal fixation (ORIF) for Type III open tibial shaft fractures (TSFs). Patients with type III TSF requiring ORIF were identified using Mar...

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Bibliographic Details
Published in:Journal of comparative effectiveness research 2019-08, Vol.8 (11), p.907-915
Main Authors: Chitnis, Abhishek S, Vanderkarr, Mollie, Sparks, Charisse, McGlohorn, Jonathan, Holy, Chantal E
Format: Article
Language:English
Subjects:
Age
Alcohol
Bones
Codes
Comorbidity
Consumer-driven health plans
costs
Diabetes
Drug abuse
Emergency medical care
fracture-related infection
Fractures
Gender
Generalized linear models
Gustilo Anderson Type III open fractures
Health care policy
Health maintenance organizations
Health services utilization
healthcare utilization
HMOs
Infections
Injuries
Nonunion
Obesity
open reduction and internal fixation
Patients
Risk factors
tibia shaft fractures
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Summary:To estimate rates of fracture-related infection (FRI) and nonunion and assess the healthcare burden associated with FRI among patients with open reduction and internal fixation (ORIF) for Type III open tibial shaft fractures (TSFs). Patients with type III TSF requiring ORIF were identified using MarketScan Database. Healthcare utilization and total costs were compared using generalized linear models. The rates of FRI and nonunion were 35.99 and 36.94%, respectively, at 365 days. Patients with FRI had a significantly higher rate of readmission, emergency room visit and total healthcare costs compared with patients without FRI. Patients with an ORIF procedure for Type III TSF have a high risk of FRI and nonunion and; FRI significantly increased the healthcare burden.
ISSN:2042-6305
2042-6313
DOI:10.2217/cer-2019-0040