$Outcome of union and infection in supracondylar fracture of femur treated with distal femur locking plate among adult patients from 2014 to 2018$

Outcome of union and infection in supracondylar fracture of femur treated with distal femur locking plate among adult patients from 2014 to 2018

Introduction: Supracondylar fractures of femur is relatively uncommon and carries significant morbidity. Locked plate of distal femoral fractures are widely used for treatment recently. However, the literature reports on the outcome of treatment are variable. The purpose of our study is to study...

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Main Author:	Jaffar, Nik Muhammad Shahid Nik
Format:	Thesis
Language:	English
Published:	2020
Subjects:	R Medicine
Online Access:	http://eprints.usm.my/50397/1/NIK%20MUHAMMAD%20SHAHID%20BIN%20NIK%20JAFFAR-24%20pages.pdf
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id	my-usm-ep.50397
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spelling	my-usm-ep.503972021-10-26T06:59:00Z Outcome of union and infection in supracondylar fracture of femur treated with distal femur locking plate among adult patients from 2014 to 2018 2020 Jaffar, Nik Muhammad Shahid Nik R Medicine Introduction: Supracondylar fractures of femur is relatively uncommon and carries significant morbidity. Locked plate of distal femoral fractures are widely used for treatment recently. However, the literature reports on the outcome of treatment are variable. The purpose of our study is to study and analyze the union and infection rate of supracondylar fracture of femur treated with distal femur locking plate among adult patients in HSNZ and HUSM. Methodology: This was a retrospective cohort study involving 92 patients with supracondylar fracture of femur treated with distal femur locking plate evaluated from 2014 till Jun 2018 from two trauma centers. The clinical data and imaging were retrieved from patient’s record. Radiological union and infection were used as outcome variables. Demographic data, fracture classification (33A and 33C), fracture type (open and closed), associated injury that can alter rehabilitation, injury mechanism, diabetes and smoking status were regarded as associated factors. Result: Sixty eight (73.9%) of patients with supracondylar femur fractures achieved union while 24 (26.1%) developed non-union. Ten (10.9%) patients were diagnosed with infection. There was no significant association between fracture classification (either 33A or 33C) of fracture including both open and closed fractures with union and infection outcome. Diabetes (OR 1.35) was found to increase risk to get non-union but it is not statistically significant (p=0.60). For infection, diabetes (OR 8.9, p = 0.02), smoking (OR 10.84, p = 0.008) and patient with associated injury that alter rehabilitation program (OR 6.56, p = 0.04) are found to be significant. Conclusion: Our study showed that the union and infection rate in fracture distal femur type 33- A and 33-C are overall satisfactory. Being diabetic, smoking and associated injury that can alter rehabilitation are the associated factors that have a significant effect on infection. 2020 Thesis http://eprints.usm.my/50397/ http://eprints.usm.my/50397/1/NIK%20MUHAMMAD%20SHAHID%20BIN%20NIK%20JAFFAR-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	R Medicine
spellingShingle	R Medicine Jaffar, Nik Muhammad Shahid Nik Outcome of union and infection in supracondylar fracture of femur treated with distal femur locking plate among adult patients from 2014 to 2018
description	Introduction: Supracondylar fractures of femur is relatively uncommon and carries significant morbidity. Locked plate of distal femoral fractures are widely used for treatment recently. However, the literature reports on the outcome of treatment are variable. The purpose of our study is to study and analyze the union and infection rate of supracondylar fracture of femur treated with distal femur locking plate among adult patients in HSNZ and HUSM. Methodology: This was a retrospective cohort study involving 92 patients with supracondylar fracture of femur treated with distal femur locking plate evaluated from 2014 till Jun 2018 from two trauma centers. The clinical data and imaging were retrieved from patient’s record. Radiological union and infection were used as outcome variables. Demographic data, fracture classification (33A and 33C), fracture type (open and closed), associated injury that can alter rehabilitation, injury mechanism, diabetes and smoking status were regarded as associated factors. Result: Sixty eight (73.9%) of patients with supracondylar femur fractures achieved union while 24 (26.1%) developed non-union. Ten (10.9%) patients were diagnosed with infection. There was no significant association between fracture classification (either 33A or 33C) of fracture including both open and closed fractures with union and infection outcome. Diabetes (OR 1.35) was found to increase risk to get non-union but it is not statistically significant (p=0.60). For infection, diabetes (OR 8.9, p = 0.02), smoking (OR 10.84, p = 0.008) and patient with associated injury that alter rehabilitation program (OR 6.56, p = 0.04) are found to be significant. Conclusion: Our study showed that the union and infection rate in fracture distal femur type 33- A and 33-C are overall satisfactory. Being diabetic, smoking and associated injury that can alter rehabilitation are the associated factors that have a significant effect on infection.
format	Thesis
qualification_level	Master's degree
author	Jaffar, Nik Muhammad Shahid Nik
author_facet	Jaffar, Nik Muhammad Shahid Nik
author_sort	Jaffar, Nik Muhammad Shahid Nik
title	Outcome of union and infection in supracondylar fracture of femur treated with distal femur locking plate among adult patients from 2014 to 2018
title_short	Outcome of union and infection in supracondylar fracture of femur treated with distal femur locking plate among adult patients from 2014 to 2018
title_full	Outcome of union and infection in supracondylar fracture of femur treated with distal femur locking plate among adult patients from 2014 to 2018
title_fullStr	Outcome of union and infection in supracondylar fracture of femur treated with distal femur locking plate among adult patients from 2014 to 2018
title_full_unstemmed	Outcome of union and infection in supracondylar fracture of femur treated with distal femur locking plate among adult patients from 2014 to 2018
title_sort	outcome of union and infection in supracondylar fracture of femur treated with distal femur locking plate among adult patients from 2014 to 2018
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2020
url	http://eprints.usm.my/50397/1/NIK%20MUHAMMAD%20SHAHID%20BIN%20NIK%20JAFFAR-24%20pages.pdf
_version_	1747822034418663424

Outcome of union and infection in supracondylar fracture of femur treated with distal femur locking plate among adult patients from 2014 to 2018

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