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首页> 外文期刊>Injury >Elderly tibial shaft fractures: Open fractures are not associated with increased mortality rates.
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Elderly tibial shaft fractures: Open fractures are not associated with increased mortality rates.

机译：老年人胫骨干骨折：开放性骨折与死亡率增加无关。

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OBJECTIVES: This study aims to assess whether elderly patients (>65 years) with open tibial shaft fractures (OFs) have increased mortality rates than those with closed fractures (CFs). PATIENTS AND METHODS: Patients admitted during 2003-2005 with open/closed diaphyseal (AO 42) fractures of the tibia were eligible to participate. EXCLUSION CRITERIA: Pathological and peri-prosthetic fractures. RESULTS: A total of 54 patients (38 females) met the inclusion criteria. Twenty-six patients had sustained CF and 28 OF (Gustilo grade I (11), grade II (five), grade IIIa (two) and grade IIIb (10)). The OF group was statistically significantly different with higher injury severity score, secondary procedures and length of hospital stay (p<0.05). A higher rate of admission/length of stay to intensive care unit and complication rate was noted in the OF group. Mortality rate between the two groups was comparable (CF=2/26, OF=3/28). CONCLUSIONS: Elderly patients with OFs of the tibial shaft have similar mortality rate to those with CFs.
机译：目的：本研究旨在评估患有闭合性胫骨干骨折（OF）的老年患者（> 65岁）是否比闭合性骨折（CF）的患者死亡率增加。患者与方法：2003年至2005年期间接受胫骨开放/闭合干phy端（AO 42）骨折的患者符合入组条件。排除标准：病理性和假体周围骨折。结果：总共54例患者（38例女性）符合纳入标准。 26例患者持续CF和28 OF（古斯蒂洛I级（11），II级（5），IIIa级（2）和IIIb级（10））。 OF组的损伤严重程度评分，继发程序和住院时间长有统计学差异（p <0.05）。在OF组中，重症监护病房的住院率/住院时间和并发症发生率较高。两组之间的死亡率相当（CF = 2/26，OF = 3/28）。结论：老年胫骨干OFs的死亡率与CFs相似。

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