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European Journal of Orthopaedic Surgery & Traumatology

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Open Access 01-01-2021 | Tibia Fracture | Original Article

Treatment and re-operation rates in one thousand and three hundred tibial fractures from the Swedish Fracture Register

Authors: David Wennergren, Carl Bergdahl, Amanda Selse, Jan Ekelund, Mikael Sundfeldt, Michael Möller

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 1/2021

Abstract

Purpose

Approximately, 50 persons per 100,000 per year sustain a tibial fracture. There is, however, a lack of large cohort studies that describe the treatment and re-operation frequencies of tibial fractures. The aim of this study was to describe the treatment and re-operation rates of tibial fractures in all segments of the tibia.

Methods

Data related to all patients aged 16 and above treated for tibial fractures (ICD-10 S82.10-31) at Sahlgrenska University Hospital in 2011–2015 were extracted from the Swedish Fracture Register. To make sure all re-operations were included in the study, the operation planning system was checked for all patients included in the study.

Results

The study comprised 1371 tibial fractures − 712 proximal, 417 diaphyseal and 242 distal tibial fractures. Among the proximal and distal tibial fractures, plate fixation was the most commonly used surgical method, whereas among tibial shaft fractures, an intramedullary nail was the most commonly used surgical method. Almost 30% (29.8%) of all surgically treated tibial fractures underwent re-operation. Among proximal tibial fractures, 24.0% underwent re-operation; tibial shaft fractures 37.0% and distal tibial fractures 26.8%. Re-operations due to infection were more or less equally common in all segments (3.9–5.4%).

Conclusion

This study describes the treatment and re-operation rates after tibial fractures in a cohort of 1371 tibial fractures at Sahlgrenska University Hospital during a period of 5 years. The study shows an overall re-operation rate of 29.8% for fractures in all segments of the tibia.

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Title: Treatment and re-operation rates in one thousand and three hundred tibial fractures from the Swedish Fracture Register
Authors: David Wennergren
Carl Bergdahl
Amanda Selse
Jan Ekelund
Mikael Sundfeldt
Michael Möller
Publication date: 01-01-2021
Publisher: Springer Paris
Keywords: Tibia Fracture
Distal Tibial Fracture
Proximal Tibia Fractures
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 1/2021
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-020-02751-x

At a glance: The STEP trials

Springer Medicine

Treatment and re-operation rates in one thousand and three hundred tibial fractures from the Swedish Fracture Register

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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