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Complications after surgical management of distal lower leg fractures

Overview of attention for article published in Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, December 2016
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Title
Complications after surgical management of distal lower leg fractures
Published in
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, December 2016
DOI 10.1186/s13049-016-0333-1
Pubmed ID
Authors

Mirjam V. Neumann, Peter C. Strohm, Kilian Reising, Joern Zwingmann, Thorsten O. Hammer, Norbert P. Suedkamp

Abstract

Osseous healing of distal lower leg fractures can be prolonged and is often associated with wound healing problems because of the marginal soft - tissue and vascular supply in this area. Postoperative complications are frequent, and according to the literature, open reduction and plate fixation is thought to be associated with higher complication rates. The objective of this study was to evaluate the most common postoperative complications following intramedullary nailing or plate osteosynthesis of distal lower leg injuries with a focus on combined tibio-fibular fractures. The outcomes of patients with and without complications associated the two surgical techniques were compared. During a 5-year period, all surgically treated distal tibiofibular fractures were retrospectively collected from the clinical database and were evaluated for the presence of postoperative complications which included compartment syndrome, wound infection, delayed union and non-union, synostosis and rotational malalignment. Postoperative complications were reviewed and correlated with patient risk factors. A total of 199 patients were included in the study, and 75 complications were reported. The majority of complications were associated with closed fracture types treated with intramedullary nailing, delayed union being the most frequent. For open fractures, surgical treatment with plate fixation had a complication rate of 12% compared with 25% after intramedullary nailing. In general, distal lower leg fractures are associated with a high risk of postoperative complications. Distal diaphyseal tibial fractures that have been treated with intramedullary nailing devices have a higher risk of delayed union or non - union. Plate fixation in distal metaphyseal fractures has a higher risk of problems related to wound healing and postoperative wound infections.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 32 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 32 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 9 28%
Student > Bachelor 6 19%
Student > Doctoral Student 4 13%
Student > Ph. D. Student 2 6%
Researcher 2 6%
Other 0 0%
Unknown 9 28%
Readers by discipline Count As %
Medicine and Dentistry 13 41%
Nursing and Health Professions 5 16%
Engineering 1 3%
Unknown 13 41%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 29 December 2016.
All research outputs
#6,731,369
of 8,834,354 outputs
Outputs from Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
#565
of 647 outputs
Outputs of similar age
#213,013
of 302,393 outputs
Outputs of similar age from Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
#22
of 30 outputs
Altmetric has tracked 8,834,354 research outputs across all sources so far. This one is in the 13th percentile – i.e., 13% of other outputs scored the same or lower than it.
So far Altmetric has tracked 647 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.1. This one is in the 6th percentile – i.e., 6% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 302,393 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 18th percentile – i.e., 18% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 30 others from the same source and published within six weeks on either side of this one. This one is in the 6th percentile – i.e., 6% of its contemporaries scored the same or lower than it.