Injuries as a result of treatment of tibial fractures in children

Palmu, Sauli; Paukku, Reijo; Mäyränpää, Mervi K; Peltonen, Jari; Nietosvaara, Yrjänä

doi:10.1080/17453670902805080

Acta Orthopaedica

2009

DOI: 10.1080/17453670902805080

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Injuries as a result of treatment of tibial fractures in children

Sauli Palmu

Reijo Paukku

Mervi K Mäyränpää

et al.

Abstract: Background and purpose Tibial fractures comprise 10% of all fractures in children. To our knowledge there have been no previous reports of treatment injuries in these fractures. We analyzed compensation claims concerning treatment of these fractures in Finland. We used this information to determine preventable causes of treatment injuries.Material and methods In Finland, the Patient Insurance Center (PIC) provides financial compensation for patients who have sustained an injury in connection with medical treat… Show more

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Cited by 6 publications

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“…A range of patient injuries in Finland have been previously investigated by several research groups, including total hip and knee arthroplasty, children’s tibial and femoral fractures, distal radius fractures, and fatal complications (Palmu et al. 2009, 2010, Järvelin et al. 2012, Hakala et al.…”

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confidence: 99%

Anterior cruciate ligament reconstruction-related patient injuries: a nationwide registry study in Finland

et al. 2019

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Background and purpose — Treatment outcomes of anterior cruciate ligament (ACL) injuries are generally good, but complications after ACL reconstruction (ACLR) can result in long-lasting problems. Patient injury claims usually fall on the more severe end of the complication spectrum. They are important to investigate because they may reveal the root causes of adverse events, which are often similar regardless of the complication’s severity. Therefore, we analyzed ACL-related patient injuries in Finland, the reasons for these claims, causes of complications, and grounds for compensation.Patients and methods — We analyzed all claims filed at the Patient Insurance Centre (PIC) between 2005 and 2013 in which the suspected patient injury occurred between 2005 and 2010. This study also reviewed all original patient records and available imaging studies. General background data were obtained from the National Care Register for Social Welfare and Health Care (HILMO).Results — There were 248 patient injury claims, and 100 of these were compensated. Compensated claims were divided into 4 main categories: skill-based errors (n = 46), infections (n = 34), knowledge-based errors (n = 6), and others (n = 14). Of the compensated skill-based errors, 34 involved graft malposition, 26 of them involved the femoral-side tunnel. All compensated infections were deep surgical site infections (DSSI).Interpretation — This is the first nationwide study of patient injuries concerning ACLRs in Finland. The most common reasons for compensation were DSSI and malposition of the drill tunnel. Therefore, it would be possible to decrease the number of serious complications by concentrating on infection prevention and optimal surgical technique.

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Anterior cruciate ligament reconstruction-related patient injuries: a nationwide registry study in Finland

et al. 2019

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“…We have reported treatment injuries in children's lower leg fractures in an earlier study ( Palmu et al 2009 ). There have not, however, been any studies on treatment injuries of femoral fractures in children.…”

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Treatment injuries are rare in children's femoral fractures

Palmu¹,

Paukku²,

Peltonen³

et al. 2010

Acta Orthopaedica

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Background and purposeThe current treatment for femoral fractures in children is mostly operative, which contrasts with treatment of other long bone fractures in children. We analyzed treatment injuries in such patients in Finland in order to identify avoidable injuries. Our other aims were to calculate the incidence of these fractures and to describe the treatment method used.MethodsThe Patient Insurance Centre (PIC) provides financial compensation of patients who have sustained an injury in connection with medical care. We retrospectively analyzed incidence, treatment methods, and all compensation claims concerning treatment of femoral fractures in children who were 0–16 years of age during the 8-year period 1997–2004.ResultsThe incidence of childhood femoral fractures in Finland was 0.27 per 1,000 children aged < 17 years, and two-thirds of the patients were treated operatively during the study period. 30 compensation claims were submitted to PIC during the 8-year study period. The compensation claims mainly concerned pain, insufficient diagnosis or treatment, extra expenses, permanent disability, or inappropriate behavior of medical personnel. Of the claims, 16 of 30 were granted compensation. Compensation was granted for delay in treatment, unnecessary surgery, and for inappropriate surgical technique. The mean amount of compensation was 2,300 euros. Of the injuries that led to compensation, 11 of 16 were regarded as being avoidable in retrospect.InterpretationThe calculated risk of a treatment injury in childhood femoral fracture treatment in Finland is approximately 2%, and most of these injuries can be avoided with proper treatment.

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Otorhinolaryngological patient injuries in finland

Lehtivuori¹,

Palonen²,

Mussalo‐Rauhamaa

et al. 2013

The Laryngoscope

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Injuries as a result of treatment of tibial fractures in children

Cited by 6 publications

References 15 publications

Anterior cruciate ligament reconstruction-related patient injuries: a nationwide registry study in Finland

Anterior cruciate ligament reconstruction-related patient injuries: a nationwide registry study in Finland

Treatment injuries are rare in children's femoral fractures

Otorhinolaryngological patient injuries in finland

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