Journal article
Potential predictive ability of the orthopaedic trauma association open fracture classification
Journal of orthopaedic trauma, Vol.28(5), pp.300-306
05/2014
DOI: 10.1097/BOT.0b013e3182a70f39
PMID: 24045435
Abstract
Is the OTA open fracture classification (OTA-OFC) potentially predictive of early amputation and specific clinical treatments?
Retrospective chart review of prospectively collected data.
Level I trauma center, Seattle, WA.
Three hundred fifty-six patients with open fractures of the femur, tibia, malleoli, humerus, radius/ulna, pelvis, acetabulum, foot, or clavicle.
No intervention.
Vacuum-assisted closure placement, 3+ irrigation and debridements, antibiotic bead placement, and early amputation.
The OTA-OFC is related to the type of treatment used to treat an open fracture. The model demonstrated that the strongest potential predictor of vacuum-assisted closure use is the severity of the skin injury; multiple debridements (≥ 2) is best predicted by the severity of the skin injury and muscle injury; bone loss was the strongest potential predictor of antibiotic bead placement; and the strongest predictors of early amputation are skin injury, contamination, and arterial injury.
Exploratory analysis of these data demonstrates that variations in muscle damage, skin injury, bone loss, arterial injury, and contamination sustained in an open fracture are related to different treatments in the total study population and for anatomical regions. The information provided by this study demonstrates that the OTA-OFC may have predictive abilities relative to how an open fracture is treated.
Prognostic level II. See Instructions for Authors for a complete description of levels of evidence.
Details
- Title: Subtitle
- Potential predictive ability of the orthopaedic trauma association open fracture classification
- Creators
- Julie Agel - Department of Orthopaedic Surgery and Sports Medicine, Harborview Medical Center, Seattle, WA; †Division of Health Policy and Management, University of Minnesota, Minneapolis, MN; ‡Christus Spohn Memorial Hospital, Corpus Christi, TX; and §Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, Iowa City, IATodd RockwoodRichard BarberJ Lawrence Marsh
- Resource Type
- Journal article
- Publication Details
- Journal of orthopaedic trauma, Vol.28(5), pp.300-306
- Publisher
- United States
- DOI
- 10.1097/BOT.0b013e3182a70f39
- PMID
- 24045435
- ISSN
- 0890-5339
- eISSN
- 1531-2291
- Language
- English
- Date published
- 05/2014
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984040322902771
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