1. Complications and its impact in patients with closed and open tibial shaft fractures requiring open reduction and internal fixation.
- Author
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Chitnis AS, Vanderkarr M, Sparks C, McGlohorn J, and Holy CE
- Subjects
- Adolescent, Adult, Aged, Female, Fracture Fixation, Internal economics, Fractures, Open economics, Fractures, Open epidemiology, Fractures, Ununited economics, Fractures, Ununited epidemiology, Health Care Costs, Humans, Male, Middle Aged, Open Fracture Reduction economics, Retrospective Studies, Surgical Wound Infection economics, Surgical Wound Infection epidemiology, Surgical Wound Infection etiology, Tibial Fractures economics, Tibial Fractures epidemiology, Treatment Outcome, United States epidemiology, Young Adult, Fracture Fixation, Internal adverse effects, Fractures, Open surgery, Fractures, Ununited etiology, Open Fracture Reduction adverse effects, Tibial Fractures surgery
- Abstract
Aim: To evaluate the rates of infection and nonunion and determine the impact of infections on healthcare resource use and costs following open and closed fractures of the tibial shaft requiring open reduction internal fixation. Methods: Healthcare use and costs were compared between patients with and without infections following pen reduction internal fixation using MarketScan
® databases. Results: For commercial patients, the rates of infection and nonunion ranged from 1.82 to 7.44% and 0.48 to 8.75%, respectively, over the 2-year period. Patients with infection had significantly higher rates of hospital readmissions, emergency room visits and healthcare costs compared with patients without infection. Conclusion: This real-world study showed an increasing rate of infection up to 2 years and infection significantly increased healthcare resource use and costs.- Published
- 2019
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