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Amputation Rates in More Than 175,000 Open Tibia Fractures in the United States.

Publication ,  Journal Article
Mundy, LR; Truong, T; Shammas, RL; Cunningham, D; Hollenbeck, ST; Pomann, G-M; Gage, MJ
Published in: Orthopedics
January 1, 2021

Open tibia fractures are often associated with considerable soft tissue injuries. Management of open tibia fractures can be challenging, and some patients require amputation. The patient and treatment factors have not been described on a population level in the United States. A retrospective analysis was completed using the 2000 to 2011 Nationwide Inpatient Sample. Amputation rates during the index hospitalization after open tibia fracture were computed based on injury, patient, and hospital characteristics in patients 18 years or older. The overall amputation rate in open tibia fractures during the index hospitalization was 2.2% (n=3769). Patients with midshaft tibia fractures comprised the largest portion of patients undergoing amputation (46.8% of total amputations) compared with distal tibia (34.0%) and proximal tibia (19.3%) fractures. Patients with no neurovascular injury comprised the largest portion of patients undergoing amputation (85.9%), followed by isolated arterial injury (11.1%), combined neurovascular injury (1.9%), and isolated nerve injury (1.1%). Amputation rates were significantly increased for midshaft tibia fractures with neurovascular injury (odds ratio, 12.39; 95% CI, 5.52-27.83) and distal tibia fractures with neurovascular injury (odds ratio, 5.45; 95% CI, 1.73-17.19) compared with tibia fractures with no neurovascular injury while controlling for confounders. On the basis of a review of the Nationwide In-patient Sample during the past decade, the authors have shown that the early amputation rate in open tibia fractures for all-comers is 2.2%. Rates of amputation varied based on fracture site, associated neurovascular injury, medical comorbidities, and hospital location. [Orthopedics. 2021;44(1):48-53.].

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Published In

Orthopedics

DOI

EISSN

1938-2367

Publication Date

January 1, 2021

Volume

44

Issue

1

Start / End Page

48 / 53

Location

United States

Related Subject Headings

  • Young Adult
  • Vascular System Injuries
  • United States
  • Tibial Fractures
  • Soft Tissue Injuries
  • Retrospective Studies
  • Peripheral Nerve Injuries
  • Orthopedics
  • Multiple Trauma
  • Middle Aged
 

Citation

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Mundy, L. R., Truong, T., Shammas, R. L., Cunningham, D., Hollenbeck, S. T., Pomann, G.-M., & Gage, M. J. (2021). Amputation Rates in More Than 175,000 Open Tibia Fractures in the United States. Orthopedics, 44(1), 48–53. https://doi.org/10.3928/01477447-20201202-03
Mundy, Lily R., Tracy Truong, Ronnie L. Shammas, Daniel Cunningham, Scott T. Hollenbeck, Gina-Maria Pomann, and Mark J. Gage. “Amputation Rates in More Than 175,000 Open Tibia Fractures in the United States.Orthopedics 44, no. 1 (January 1, 2021): 48–53. https://doi.org/10.3928/01477447-20201202-03.
Mundy LR, Truong T, Shammas RL, Cunningham D, Hollenbeck ST, Pomann G-M, et al. Amputation Rates in More Than 175,000 Open Tibia Fractures in the United States. Orthopedics. 2021 Jan 1;44(1):48–53.
Mundy, Lily R., et al. “Amputation Rates in More Than 175,000 Open Tibia Fractures in the United States.Orthopedics, vol. 44, no. 1, Jan. 2021, pp. 48–53. Pubmed, doi:10.3928/01477447-20201202-03.
Mundy LR, Truong T, Shammas RL, Cunningham D, Hollenbeck ST, Pomann G-M, Gage MJ. Amputation Rates in More Than 175,000 Open Tibia Fractures in the United States. Orthopedics. 2021 Jan 1;44(1):48–53.

Published In

Orthopedics

DOI

EISSN

1938-2367

Publication Date

January 1, 2021

Volume

44

Issue

1

Start / End Page

48 / 53

Location

United States

Related Subject Headings

  • Young Adult
  • Vascular System Injuries
  • United States
  • Tibial Fractures
  • Soft Tissue Injuries
  • Retrospective Studies
  • Peripheral Nerve Injuries
  • Orthopedics
  • Multiple Trauma
  • Middle Aged