Análise comparativa da acurácia das classificações de Gustilo e Tscherne como preditoras de infecção em fraturas expostas

Oliveira, Rafael Valadares; Cruz, Luciano Passos; Matos, Marcos Almeida

doi:10.1016/j.rbo.2017.03.017

Cited by 4 publications

(2 citation statements)

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“…Open fractures mostly affect lower limbs and the tibial diaphysis is the most fractured bone in patients under 65 years of age. [3][4][5] In this study, in absolute numbers, the most common fractures occurred due to workrelated accidents (39.51%), with equal distribution between crushing (laceration trauma) and lacerations, especially regarding industrial and agricultural machines. In a study that considered work-related accidents as the main cause of fractures, they were related to the crushing of limbs.…”

Section: Resultsmentioning

confidence: 97%

“…In the United States, open fractures were estimated to represent an annual cost of US$ 230 million. 3 In Brazil, public spending on trauma, including open fractures, exceed all other reasons for hospitalizations. 4 Therefore, the main effect of open fractures and fractures in general is economic, because of social security costs with health and labor burdens, as well as loss of productive capacity.…”

Section: Introductionmentioning

confidence: 99%

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Epidemiology of Open Fractures and Degree of Satisfaction of Initial Care

COSTA

REIS

et al. 2022

Acta ortop. bras.

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Introduction: Open fractures, although uncommon, with trauma have costs that exceed all other reasons for hospitalizations. Its epidemiology has fundamental importance to plan treatment and define priorities. Objective: To assess prospectively the epidemiological profile of open fractures and the degree of satisfaction with initial care. Methods: Epidemiological, prospective, descriptive, observational study was carried out in a convenience sample of open fractures. Quantitative, qualitative, and epidemiological aspects regarding open fractures were evaluated, as well as the degree of satisfaction with the initial care. Results: 124 patients treated with 155 open fractures. 88% were male; mean age 43 years (± 42.99); non-white (56.72%); married (52.41%); low level of education (51.60%); farmer, self-employed, bricklayer, industrialist (51.60%); with monthly earnings of up to 2 minimum wages (87%); healthy (76.13%); victims of labor accidents (39.51%) in bones of the hands (58.02%); 55% on the left side; attended between Thursday to Saturday (50%); work shift 6 a.m.-6 p.m. (77%). There was high level of satisfaction with the initial care provided (98%). Conclusion: Open fractures were related to healthy men, 43 years old, low education and low income, predominant in upper limbs, at 6 a.m. to 6 p.m., from Thursday to Saturday. Most were satisfied with the service provided. Level of Evidence II, Epidemiological, prospective, descriptive, observational study.

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Section: Resultsmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Epidemiology of Open Fractures and Degree of Satisfaction of Initial Care

COSTA

REIS

et al. 2022

Acta ortop. bras.

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Which is the best score and classification system for complex injuries of the limbs? Some recommendations based on a systematic literature review

et al. 2022

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Prevention and treatment of osteomyelitis after open tibia fractures

Mehta,

Leucht

2024

OTA International

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Infection and chronic post-traumatic osteomyelitis of the tibia after open fracture are complex problems that cause significant morbidity and threaten the viability of a limb. Therefore, it is of utmost importance for the orthopaedic surgeon to understand both patient and treatment factors that modify the risk of developing these disastrous complications. Infection risk is largely based on severity of open injury in addition to inherent patient factors. Orthopaedic surgeons can work to mitigate this risk with prompt antibiotic administration, thorough and complete debridement, expedient fracture stabilization, and early wound closure. In the case osteomyelitis does occur, the surgeon should use a systematic multidisciplinary approach for eradication.

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Análise comparativa da acurácia das classificações de Gustilo e Tscherne como preditoras de infecção em fraturas expostas

Cited by 4 publications

References 20 publications

Epidemiology of Open Fractures and Degree of Satisfaction of Initial Care

Epidemiology of Open Fractures and Degree of Satisfaction of Initial Care

Which is the best score and classification system for complex injuries of the limbs? Some recommendations based on a systematic literature review

Prevention and treatment of osteomyelitis after open tibia fractures

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