Journals / Acta Orthopaedica et Traumatologica Turcica / 2017 / Cilt: 51 - Sayı: 2

Treatment preferences in Turkey for open fracture of the tibial diaphysis

Pages
133–137
DOI
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This isan open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Objective & Hypothesis:Objective: The purpose of this study was to investigate different treatment methods employed by orthopedic surgeons for open tibial fracture in adults.Methods: Survey of 12 questions regarding treatment of open tibial fracture was conducted with 285orthopedics and traumatology specialists in Turkey in personal interviews and using web-basedtechnique.Results: Of all survey participants, 99.6% responded that tetanus prophylaxis is necessary emergencyprocedure in cases of adult open tibial diaphysis fracture.
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Key Findings & Data:In addition, 96.5% considered antibioticsadministration necessary, 85.6% also selected irrigation with saline, 55.4% included debridement, and45.3% temporaryŞxation.
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Conclusion & Impact:This isan open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
🔬Design:Survey & Empirical Study
📍Scope:2017 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: The purpose of this study was to investigate different treatment methods employed by orthopedic surgeons for open tibial fracture in adults.Methods: Survey of 12 questions regarding treatment of open tibial fracture was conducted with 285orthopedics and traumatology specialists in Turkey in personal interviews and using web-basedtechnique.Results: Of all survey participants, 99.6% responded that tetanus prophylaxis is necessary emergencyprocedure in cases of adult open tibial diaphysis fracture. In addition, 96.5% considered antibioticsadministration necessary, 85.6% also selected irrigation with saline, 55.4% included debridement, and45.3% temporaryŞxation. Only 4 (1.3%) respondents did not use aminoglycoside antibiotics. While 29.8%of those surveyed preferred externalŞxator as a deŞnitive treatment method, 75.8% use intramedullarynail and 13.7% preferred plate method.Conclusion: A wide variation was observed among orthopedics and traumatology specialists in Turkeyregarding treatment of open tibial diaphysis fracture in adults. Data obtained from this study togetherwith the available literature may be useful to further develop therapeutic approaches.© 2017 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V. This isan open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Cite This Article

ÖZDEMİR, G., YILMAZ, B., KOMÜRB, B., SİRİNA, E., KARAHANA, N., CEYHANA, E. (2017). Treatment preferences in Turkey for open fracture of the tibial diaphysis. Acta Orthopaedica et Traumatologica Turcica, Cilt: 51 - Sayı: 2, 133–137. https://ajindex.com/articles/190675

References (13)

  1. Schenker ML, Ahn J, Donegan D, Mehta S, Baldwin KD. The cost of after-hours operative debridement of open tibia fractures. J Orthop Trauma. 2014
  2. 28(11): e631. Schenker ML, Yannascoli S, Baldwin DK, Ahn J, Mehta S. Does timing to oper- ative debridement affect infectious complications in open long-bone fractures? A systematic review. J Bone Jt Surg Am. 2012
  3. 94(12):1057e1064. Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-Şve open fractures of long bones: retrospective and prospective analyses. J Bone Jt Surg Am. 1976
  4. 58(4):453e458. Kamu hastaneleri istatistik yıllı gı. Available at: 2014:46e47. www.tkhk.gov.tr/ dosyalar/b4a241a4aab04c26bdf3def6d2f084e2.pdf. Helfet DL, Howey T, Sanders R, Johansen K. Limb salvage versus amputation. Preliminary results of the mangled extremity severity score. Clin Orthop Relat Res. 1990
  5. 80e86. Patzakis MJ, Wilkins J. Factors influencing infection rate in open fracture wounds. Clin Orthop Relat Res. 1989
  6. 36e40. Lack WD, Karunakar MA, Angerame MR, Seymour RB, Sims S, Kellam JF. Type III open tibia fractures: immediate antibiotic prophylaxis minimizes infection. J Orthop Trauma. 2015
  7. 29(1):1e6. Weber D, Dulai SK, Bergman J, Buckley R, Beaupre LA. Time to initial operative treatment following open fracture does not impact development of deep infection: a prospective cohort study of 736 subjects. J Orthop Trauma.
  8. 28(11):613e619. Farnworth E, Roberts A, Rangaraj A, Minhas U, Holloway S, Harding K. Tetanus in patients with chronic wounds-are we aware? Int Wound J. 2012
  9. 9(1):93e99. World Health Organisation. Prevention and management of wound infection. Available at: http://www.who.int/hac/techguidance/tools/guidelines_prevent ion_and_management_wound_infection.pdf. Bhandari M, Adili A, Schemitsch EH. The efŞcacy of low-pressure lavage with different irrigating solutions to remove adherent bacteria from bone. J Bone Jt Surg Am. 2001
  10. A(3):412e419. Flow investigators. Fluidrot Lavage of Open Wounds (FLOW): design and rationale for a large, multicenter collaborativen 2*3 factorial trial of irrigating pressures and solutions in patients with open fractures. BMC Musculoskelet Disord. 2010
  11. 11e85. Miller MD, Thompson SR, Hart JA, eds. Review of Orthopaedics. 6th ed. Elsevier Saunders
  12. 701e702 Chapter 11: Trauma
  13. Weiss DB, Milewski MD, Thompson SR, Stannard JP. Kindsfater K, Jonassen EA. Osteomyelitis in grade II and III open tibia fractures with late debridement. J Orthop Tra