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Time to debridement in high velocity lower limb fractures and its effect on union rates and infections: A prospective cohort study

Conditions
Debridement in open fractures
Registration Number
DRKS00015186
Lead Sponsor
Christian Medical College, Vellore
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
254
Inclusion Criteria

All adult, skeletally mature (as seen on radiographs) patients with grade 3 open fractures of the femur, tibia, or fibula, including intra-articular fractures, who provided informed and photographic consent.

Exclusion Criteria

Patients who had fractures involving the face, trunk, upper limb, spine, pelvis, patella, or foot; who underwent primary debridement elsewhere; who had unsalvageable limbs requiring urgent amputation and those who were unwilling to participate in the study.

Study & Design

Study Type
observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Fractures which have not united and compare between both study groups.<br>To evaluate fractures which have not united at the end of 9 months clinically (by examination for abnormal mobility, tenderness at the fracture site and inability to stand on 1 leg) and radiologically (presence of atleast 3 out of 4 healed bony cortices).
Secondary Outcome Measures
NameTimeMethod
1. To evaluate infection rates at the end of 9 months following surgery.<br>2. Patient quality of life (functional scores SF-36 and SMFA) compared between both groups.
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