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- W4313446654 abstract "Abstract Background: We aimed to assess the factors that affect union time and complications in IIIC (based on the Gustilo classification) tibial fractures. Materials and Methods: This retrospective analysis included patients with IIIC open tibial fractures during a 20-year period. All the medical records were reviewed, and the outcomes were investigated. Results: Fifty-eight patients were enrolled and grouped by union time: on-time (eight), late (27), delayed (eight), non-union, and amputation required (12). Nine fractures were complicated by osteomyelitis. Union time was significantly prolonged in cases of triple arterial injury, distal third fractures, an Injury Severity Score (ISS) ≥ 16, and/or increased length of bone defect. A bone gap > 50 mm, diabetes mellitus, low body mass index, or triple arterial injury were significant risk factors for amputation. Time from injury to definitive soft tissue coverage was a major risk factor for osteomyelitis if it exceeded 22 days. Predicted probability of union within 2 years was stratified based on a generated scoring system. Conclusions: An effective system predicting union time was built based on the selected factors. Early soft tissue coverage reduces the risk of osteomyelitis, while diabetes and severe bone and soft tissue defects increase the risk of amputation. Trial registration: not applicable Level of evidence: IV" @default.
- W4313446654 created "2023-01-06" @default.
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- W4313446654 date "2023-01-03" @default.
- W4313446654 modified "2023-10-01" @default.
- W4313446654 title "Predicting union, osteomyelitis, and amputation outcomes of open type IIIC tibial fractures: A retrospective study" @default.
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- W4313446654 doi "https://doi.org/10.21203/rs.3.rs-2407067/v1" @default.
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