Mortality After Reamed Intramedullary Nailing of Bilateral Femur Fractures
- 1 October 2003
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Clinical Orthopaedics and Related Research
- Vol. 415, 272-278
- https://doi.org/10.1097/01.blo.00009319.26658.23
Abstract
We performed retrospective review of 743 patients treated with reamed intramedullary nailing of a femoral shaft fracture was done to assess the clinical impact of bilateral femur fractures on the mortality, hospital stay, and length of intensive care treatment in patients with blunt trauma. Unilateral injuries occurred in 689 patients and bilateral injuries occurred in 54 patients. Mortality in patients with bilateral femur fractures was 5.6% compared with 1.5% in patients with unilateral femur fractures. The two groups were analyzed using multiple linear regression and logistic regression with age and Injury Severity Scores as covariants to allow for comparison of similarly injured groups as predicted by the Injury Severity Scores. Bilateral femur fractures still were associated with a significantly higher mortality, longer length of stay in the hospital, and longer length of stay in the intensive care unit. As expected, when analyzed separately, patients with bilateral femur fractures had significantly higher Injury Severity Scores, longer lengths of stay in the intensive care unit, and longer lengths of stay in the hospital. Patients with bilateral femur fractures have an increased mortality when compared with patients with unilateral femur fractures after controlling for Injury Severity Score and age. When used alone, the Injury Severity Score underestimates the contribution of a second femur fracture.Keywords
This publication has 36 references indexed in Scilit:
- Measuring Injury SeverityThe Journal of Trauma and Acute Care Surgery, 1998
- Adult Respiratory Distress Syndrome, Pneumonia, and Mortality following Thoracic Injury and a Femoral Fracture Treated Either with Intramedullary Nailing with Reaming or with a Plate. A Comparative Study*The Journal of Bone & Joint Surgery, 1997
- DELAYED SURGICAL FIXATION OF FEMUR FRACTURES IS A RISK FACTOR FOR PULMONARY FAILURE INDEPENDENT OF THORACIC TRAUMAThe Journal of Trauma and Acute Care Surgery, 1994
- MORTALITY IN MULTIPLE TRAUMA PATIENTS WITH FRACTURESThe Journal of Trauma and Acute Care Surgery, 1994
- Improved Outcome with Femur FracturesThe Journal of Trauma and Acute Care Surgery, 1990
- Intramedullary nailing of femoral shaft fractures. Part IIThe Journal of Bone & Joint Surgery, 1988
- Preventable Trauma DeathsJama-Journal Of The American Medical Association, 1985
- Nine Cases of Bilateral Femoral Shaft FracturesThe Journal of Trauma and Acute Care Surgery, 1980
- THE INJURY SEVERITY SCOREThe Journal of Trauma and Acute Care Surgery, 1976
- THE INJURY SEVERITY SCOREThe Journal of Trauma and Acute Care Surgery, 1974