RISK FACTORS AT NON-UNION OF TIBIAL FRACTURE TREATED WITH INTRAMEDULLARY NAIL Article Swipe
Vitor Lorens Yulta Abe Puccetti
,
Fernando Loureiro de Miranda
,
Caio César Nogueira de Figueiredo
,
Kayo Augusto de Almeida Medeiros
,
Marcos de Camargo Leonhardt
,
Jorge dos Santos Silva
,
Kodi Edson Kojima
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1590/1413-785220243202e278581
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1590/1413-785220243202e278581
Objective: Identify the predictors associated with delayed union at 6 months and non-union at 12 months in tibial shaft fractures treated with intramedullary nailing (IMN). Methods: This retrospective longitudinal study included a cohort of 218 patients who sustained tibial shaft fractures and received IMN between January 2015 and March 2022. We gathered data on a range of risk factors, including patient demographics, trauma intensity, associated injuries, fracture characteristics, soft tissue injuries, comorbidities, addictions, and treatment-specific factors. We employed logistic bivariate regression analysis to explore the factors predictive of delayed union and non-union. Results: At the 6-month follow-up, the incidence of delayed union was 28.9%. Predictors for delayed union included flap coverage, high-energy trauma, open fractures, the use of external fixation as a staged treatment, the percentage of cortical contact in simple type fractures, RUST score, and postoperative infection. After 12 months, the non-union rate was 15.6%. Conclusion: the main predictors for non-union after IMN of tibial shaft fractures are related to the trauma energy. Furthermore, the initial treatment involving external fixation and postoperative infection also correlated with non-union. Level of Evidence III; Retrospective Longitudinal Study.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1590/1413-785220243202e278581
- OA Status
- gold
- Cited By
- 2
- References
- 24
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4399976035
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4399976035Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1590/1413-785220243202e278581Digital Object Identifier
- Title
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RISK FACTORS AT NON-UNION OF TIBIAL FRACTURE TREATED WITH INTRAMEDULLARY NAILWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-01-01Full publication date if available
- Authors
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Vitor Lorens Yulta Abe Puccetti, Fernando Loureiro de Miranda, Caio César Nogueira de Figueiredo, Kayo Augusto de Almeida Medeiros, Marcos de Camargo Leonhardt, Jorge dos Santos Silva, Kodi Edson KojimaList of authors in order
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https://doi.org/10.1590/1413-785220243202e278581Publisher landing page
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://doi.org/10.1590/1413-785220243202e278581Direct OA link when available
- Concepts
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Intramedullary rod, Medicine, Retrospective cohort study, Surgery, Nonunion, External fixation, External fixatorTop concepts (fields/topics) attached by OpenAlex
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2Total citation count in OpenAlex
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2025: 2Per-year citation counts (last 5 years)
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24Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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