FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3179053005> ?p ?o ?g. }

• W3179053005 endingPage "436" @default.
• W3179053005 startingPage "430" @default.
• W3179053005 abstract "Objectives: We conducted a large, U.S wide, observational study of type III tibial fractures, with the hypothesis that delays between definitive fixation and flap coverage might be a substantial modifiable risk factor associated with nosocomial wound infection. Design: A retrospective analysis of a multicenter database of open tibial fractures requiring flap coverage. Setting: Fourteen level-1 trauma centers across the United States. Patients: Two hundred ninety-six (n = 296) consecutive patients with Gustilo III open tibial fractures requiring flap coverage at 14 trauma centers were retrospectively analyzed from a large orthopaedic trauma registry. We collected demographics and the details of surgical care. We investigated the patient, and treatment factors leading to infection, including the time from various points in care to the time of soft-tissue coverage. Intervention: Delay definitive fixation and flap coverage in tibial type III fractures. Main Outcome Measurements: (1) Results of multivariate regression with time from injury to coverage, debridement to coverage, and definitive fixation to coverage in the model, to determine which delay measurement was most associated with infection. (2) A second multivariate model, including other factors in addition to measures of flap delay, to provide the estimate between delay and infection after adjustment for confounding. Results: Of 296 adults (227 M: 69 F) with open Gustilo type III tibial fractures requiring flap coverage, 96 (32.4%) became infected. In the multivariate regression, the time from definitive fixation to flap coverage was most predictive of subsequent wound infection (odds ratio 1.04, 95% confidence interval 1.01 to 1.08, n = 260, P = 0.02) among the time measurements. Temporary internal fixation was not associated with an increased risk of infection in both univariate (P = 0.59) or multivariate analyses (P = 0.60). Flap failure was associated with the highest odds of infection (odds ratio 6.83, 95% confidence interval 3.26 to 14.27, P < 0.001). Conclusion: Orthoplastic teams that are dedicated to severe musculoskeletal trauma, that facilitate coordination of definitive fixation and flap coverage, will reduce the infection rates in Gustilo type III tibial fractures. Level of Evidence: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence." @default.
• W3179053005 created "2021-07-19" @default.
• W3179053005 creator A5001398889 @default.
• W3179053005 creator A5013941101 @default.
• W3179053005 creator A5017582224 @default.
• W3179053005 creator A5022349797 @default.
• W3179053005 creator A5023920971 @default.
• W3179053005 creator A5031425909 @default.
• W3179053005 creator A5034004735 @default.
• W3179053005 creator A5035621779 @default.
• W3179053005 creator A5035988241 @default.
• W3179053005 creator A5036528952 @default.
• W3179053005 creator A5041245905 @default.
• W3179053005 creator A5042402563 @default.
• W3179053005 creator A5045667184 @default.
• W3179053005 creator A5048816294 @default.
• W3179053005 creator A5064903368 @default.
• W3179053005 creator A5067935630 @default.
• W3179053005 creator A5070920471 @default.
• W3179053005 creator A5076302992 @default.
• W3179053005 creator A5084020946 @default.
• W3179053005 creator A5084114857 @default.
• W3179053005 creator A5084315877 @default.
• W3179053005 creator A5086707827 @default.
• W3179053005 creator A5087921266 @default.
• W3179053005 creator A5071501657 @default.
• W3179053005 date "2021-08-01" @default.
• W3179053005 modified "2023-09-28" @default.
• W3179053005 title "Timing of Flap Coverage With Respect to Definitive Fixation in Open Tibia Fractures" @default.
• W3179053005 cites W1514394933 @default.
• W3179053005 cites W1616053092 @default.
• W3179053005 cites W1641674225 @default.
• W3179053005 cites W16828608 @default.
• W3179053005 cites W1965153625 @default.
• W3179053005 cites W1976792574 @default.
• W3179053005 cites W1982498546 @default.
• W3179053005 cites W1983515116 @default.
• W3179053005 cites W1987073240 @default.
• W3179053005 cites W1987797122 @default.
• W3179053005 cites W1988359843 @default.
• W3179053005 cites W1994517477 @default.
• W3179053005 cites W1996533840 @default.
• W3179053005 cites W2000993223 @default.
• W3179053005 cites W2007949614 @default.
• W3179053005 cites W2009952816 @default.
• W3179053005 cites W2013082680 @default.
• W3179053005 cites W2013201732 @default.
• W3179053005 cites W2032808836 @default.
• W3179053005 cites W2042366442 @default.
• W3179053005 cites W2044278667 @default.
• W3179053005 cites W2054429969 @default.
• W3179053005 cites W2055300567 @default.
• W3179053005 cites W2058712756 @default.
• W3179053005 cites W2060428236 @default.
• W3179053005 cites W2074663932 @default.
• W3179053005 cites W2082750637 @default.
• W3179053005 cites W2085127836 @default.
• W3179053005 cites W2125432668 @default.
• W3179053005 cites W2132871872 @default.
• W3179053005 cites W2138896353 @default.
• W3179053005 cites W2146698255 @default.
• W3179053005 cites W2217492733 @default.
• W3179053005 cites W2314454719 @default.
• W3179053005 cites W2327278567 @default.
• W3179053005 cites W2331422866 @default.
• W3179053005 cites W2395128469 @default.
• W3179053005 cites W2411605658 @default.
• W3179053005 cites W2560358466 @default.
• W3179053005 cites W2567214283 @default.
• W3179053005 cites W2582818721 @default.
• W3179053005 cites W2602511556 @default.
• W3179053005 cites W2614768124 @default.
• W3179053005 cites W2773996334 @default.
• W3179053005 cites W2902830696 @default.
• W3179053005 cites W29145131 @default.
• W3179053005 cites W2947147947 @default.
• W3179053005 cites W2949947114 @default.
• W3179053005 cites W2963032661 @default.
• W3179053005 cites W2965724006 @default.
• W3179053005 cites W2970147182 @default.
• W3179053005 cites W2978329356 @default.
• W3179053005 cites W2981645730 @default.
• W3179053005 cites W2999813402 @default.
• W3179053005 cites W3000034646 @default.
• W3179053005 cites W3008795980 @default.
• W3179053005 cites W3014174570 @default.
• W3179053005 cites W3017541743 @default.
• W3179053005 cites W3142011140 @default.
• W3179053005 cites W3146829053 @default.
• W3179053005 cites W4243599091 @default.
• W3179053005 doi "https://doi.org/10.1097/bot.0000000000002033" @default.
• W3179053005 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/34267149" @default.
• W3179053005 hasPublicationYear "2021" @default.
• W3179053005 type Work @default.
• W3179053005 sameAs 3179053005 @default.
• W3179053005 citedByCount "13" @default.
• W3179053005 countsByYear W31790530052022 @default.
• W3179053005 countsByYear W31790530052023 @default.

• next