| Use of femoral shaft fracture classification for predicting the risk of associated injuries. | |
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MedLine Citation:
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PMID: 21857424 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVES: : To investigate the hypothesis that specific fracture patterns in patients with femoral shaft fractures can predict the likelihood of associated injuries. DESIGN: : Retrospective cohort study. SETTING: : Level I trauma center. PATIENTS/PARTICIPANTS: : Consecutive patients treated because of a traumatic diaphyseal femoral fracture. MAIN OUTCOME MEASUREMENT: : We studied the association between the Orthopaedic Trauma Association (OTA) fracture classification (derived from initial radiographs) and concomitant injuries of the head, spine, chest, abdomen, and pelvis with a severity of two or more points according to the Abbreviated Injury Scale by logistic regression analysis. RESULTS: : One hundred forty-three of 203 patients (80 men, 63 women; mean age 54 ± 26 years) met the inclusion criteria. All patients had unilateral diaphyseal fractures, 64 OTA 32.A (45%), 46 OTA 32.B (32%), and 33 OTA 32.C (23%). In addition, 134 associated injuries were identified in 52 patients. Increasing fracture severity, as expressed by the OTA classification (ie, A, B, C), was significantly associated with a higher likelihood of thoracic (odds ratio [OR], 5.89; 95% confidence interval [CI], 2.59-13.40), pelvic (OR, 4.55; 95% CI, 2.01-10.28), upper (OR, 2.38; 95% CI, 1.27-4.48), and lower extremity injuries (OR, 3.12; 95% CI, 1.78-5.46). Fracture severity explained between 70% and 86% of the probability of having accompanying injuries. CONCLUSION: : Radiographic grading of the severity of a femoral shaft fracture may signal the presence of accompanying injuries and should contribute to the clinical decision-making process in severe trauma. |
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Authors:
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Vassilios S Nikolaou; Dirk Stengel; Peter Konings; George Kontakis; Gerasimos Petridis; Giannos Petrakakis; Peter V Giannoudis |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of orthopaedic trauma Volume: 25 ISSN: 1531-2291 ISO Abbreviation: J Orthop Trauma Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-08-22 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8807705 Medline TA: J Orthop Trauma Country: United States |
Other Details:
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Languages: eng Pagination: 556-9 Citation Subset: IM |
Affiliation:
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From the *Academic Department of Trauma & Orthopaedics, School of Medicine, University of Leeds, Leeds, UK; †Center for Clinical Research, Department of Trauma and Orthopaedic Surgery, Unfallkrankenhaus Berlin and University of Greifswald, Greifswald, Germany; ‡Academic Department of Trauma & Orthopaedics, School of Medicine, University of Crete, Crete, Greece; and §School of Medicine, University of Crete, Crete, Greece. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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