Multiple trauma (Part II); the effect of early fixation of fractures on morbidity and mortality

Volume: 30 Number: 3 September 11, 2006
  • Remzi Ozerdemoglu
  • Omer Bilgen
  • Huseyin Yorgancigil
  • Kemal Durak
  • Ufuk Aydinli
EN TR

Multiple trauma (Part II); the effect of early fixation of fractures on morbidity and mortality

Abstract

The records of 200 multiple traumatized patients were reviewed retrospectively, in order to investigate the effects of time and methods of fracture fixation on morbidity and mortality. Early surgical fixation (ESF) of major fractures in the first 48 hours after injury was performed to 103 patients, late surgical fixation (LSF) (after 48 hours) was used in 57 patients, and 40 patients were treated conservatively (CT). There were no significant differences between these three groups, according to the average age, modified injury severity scale score, hospital stay and major orthopaedic infection. However rates of adult respiratory distress syndrome (ARDS), fat embolism, and mortality were found to be 3.9 %, 1% and 1.9% in the ESF group , 8.8%, 10.5% and 7% in the LSF group, but 25%, 27.5% and 22.5% in the CT group, respectively. This rates obtained for the CT group were statistically higher, than that of the two surgically treated groups. Although the rates of the ESF group were much lower than that of the LSF group, only the difference for fat embolism was shown to be statistically lower (p<0.05). As the result, the selected time and methods of fracture fixation were found to have an important effect on the prognosis of these patients. Since the lowest morbidity and mortality rates were observed in the ESF group, it was concluded that this method should be preferred in patients, tolerating anesthesia and surgery, for all major fractures, especially at lower extremities in the first 24-48 hours.

Keywords

Details

Primary Language

English

Subjects

-

Journal Section

-

Authors

Remzi Ozerdemoglu This is me

Omer Bilgen This is me

Huseyin Yorgancigil This is me

Kemal Durak This is me

Ufuk Aydinli This is me

Publication Date

September 11, 2006

Submission Date

March 6, 2014

Acceptance Date

-

Published in Issue

Year 1996 Volume: 30 Number: 3

APA
Ozerdemoglu, R., Bilgen, O., Yorgancigil, H., Durak, K., & Aydinli, U. (2006). Multiple trauma (Part II); the effect of early fixation of fractures on morbidity and mortality. Acta Orthopaedica et Traumatologica Turcica, 30(3), 252-255. https://doi.org/10.3944/aott.v30i3.1987
AMA
1.Ozerdemoglu R, Bilgen O, Yorgancigil H, Durak K, Aydinli U. Multiple trauma (Part II); the effect of early fixation of fractures on morbidity and mortality. Acta Orthopaedica et Traumatologica Turcica. 2006;30(3):252-255. doi:10.3944/aott.v30i3.1987
Chicago
Ozerdemoglu, Remzi, Omer Bilgen, Huseyin Yorgancigil, Kemal Durak, and Ufuk Aydinli. 2006. “Multiple Trauma (Part II); The Effect of Early Fixation of Fractures on Morbidity and Mortality”. Acta Orthopaedica et Traumatologica Turcica 30 (3): 252-55. https://doi.org/10.3944/aott.v30i3.1987.
EndNote
Ozerdemoglu R, Bilgen O, Yorgancigil H, Durak K, Aydinli U (September 1, 2006) Multiple trauma (Part II); the effect of early fixation of fractures on morbidity and mortality. Acta Orthopaedica et Traumatologica Turcica 30 3 252–255.
IEEE
[1]R. Ozerdemoglu, O. Bilgen, H. Yorgancigil, K. Durak, and U. Aydinli, “Multiple trauma (Part II); the effect of early fixation of fractures on morbidity and mortality”, Acta Orthopaedica et Traumatologica Turcica, vol. 30, no. 3, pp. 252–255, Sept. 2006, doi: 10.3944/aott.v30i3.1987.
ISNAD
Ozerdemoglu, Remzi - Bilgen, Omer - Yorgancigil, Huseyin - Durak, Kemal - Aydinli, Ufuk. “Multiple Trauma (Part II); The Effect of Early Fixation of Fractures on Morbidity and Mortality”. Acta Orthopaedica et Traumatologica Turcica 30/3 (September 1, 2006): 252-255. https://doi.org/10.3944/aott.v30i3.1987.
JAMA
1.Ozerdemoglu R, Bilgen O, Yorgancigil H, Durak K, Aydinli U. Multiple trauma (Part II); the effect of early fixation of fractures on morbidity and mortality. Acta Orthopaedica et Traumatologica Turcica. 2006;30:252–255.
MLA
Ozerdemoglu, Remzi, et al. “Multiple Trauma (Part II); The Effect of Early Fixation of Fractures on Morbidity and Mortality”. Acta Orthopaedica et Traumatologica Turcica, vol. 30, no. 3, Sept. 2006, pp. 252-5, doi:10.3944/aott.v30i3.1987.
Vancouver
1.Remzi Ozerdemoglu, Omer Bilgen, Huseyin Yorgancigil, Kemal Durak, Ufuk Aydinli. Multiple trauma (Part II); the effect of early fixation of fractures on morbidity and mortality. Acta Orthopaedica et Traumatologica Turcica. 2006 Sep. 1;30(3):252-5. doi:10.3944/aott.v30i3.1987