The incidence and risk factors associated with the need for fasciotomy in tibia and forearm fractures: An analysis of the national trauma data bank
Journal of Orthopaedic Trauma May 01, 2020
Saiz AM, Wellman AC, Stwalley D, et al. - This study was attempted to analyze a large national trauma database to ascertain the incidence of, risk factors for, and outcomes after a fasciotomy of the lower leg or forearm after fracture. Researchers examined data from the National Trauma Data Bank for the years 2004–2016, and 301,351 patients were distinguished with forearm fractures and 369,237 patients with tibial fractures. They evaluated risk factors, length of stay (LOS), and mortality to ascertain correlations with an injury that required a fasciotomy. In tibia or forearm fractures, the incidence of a fasciotomy is less than 5%. Patients who have undergone fasciotomy have higher energy injuries, elevated alcohol or drug use, higher rates of surgical interventions, and increased LOS. Furthermore, having a fasciotomy is correlated with elevated mortality rate. Fasciotomies can serve as an indicator and modifier for a more complex trauma pathology, when counseling patients and assessing surgeon/hospital performance.
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