Literatures searches has shown that fracture healing complications are common in patients with fractures. Studies show that the most common healing complication are non-union, malunion and delayed union with incidences of 6.8%, 0.7% and 0.6% respectively.(1) Patients’ quality of life is affected post operatively with additional burden to the healthcare system.
The study aims to determine the incidence and risk factors of fracture healing complications: malunion, non-union and delayed union of the tibial shaft secondary to fractures tibial shaft fractures among patients that were admitted to the Orthopedic Department at the Georgetown Public Hospital Corporation (GPHC). This will enable healthcare providers to better identify the group of patients that are at an increased risks for the development of such complications.
This goal will be achieved by using a retrospective cohort quantitative approach. It will include collection of data of all patients that were admitted to the Orthopedics Department at GPHC from 30th June 2017 to 30th June 2022 with fractures to the tibial shaft. General information about patients’ sex, age, gender, race and comorbidities will be documented as well as time of injury, time of presentation to hospital setting whether to clinic or accident and emergency department and the type of treatment that was first given to the patient at the time of presentation. The patients will be followed over a period of at least 8 weeks to assess whether their fractures healed without complications or whether they had complications by using their clinic charts. Information about outcome will be recorded either as good: no healing complications, or bad: malunion, non- union or delayed union.
At the completion of this project it is expected that data will be known about the rate of incidence of malunion, nonunion and delayed union associated with fractures of the tibial shaft, the results of which will be used to determine the percentage incidence of fracture healing complications secondary to fractures of the tibial shaft and identify the specific groups of patients that are at an increased risk of suffering from fracture healing complications: malunion, nonunion and delayed union at the time of presentation so that we can be able to prevent rather than treat these complications early on.
Question
What is the incidence and risk factors of fracture healing complications (malunion, non-union and delayed union) among patients previously admitted to the Orthopedics department at GPHC for fractures to the tibial shaft during the period 30th June 2017 to 30th June 2022?
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