Skip to main content

Table 4 Fracture characteristics and treatment per level trauma centre

From: Differentiation in an inclusive trauma system: allocation of lower extremity fractures

  Level I Level II p value
n fractures = 538 n fractures = 979
Fractures surgically treated (n, %)* 259 (50.9%) 218 (23.9%) < 0.001
ORIF/CRIF (n, %)* 216 (42.4%) 216 (23.7%) < 0.001
Fractures treated with external fixation (n, %)* 43 (8.4%) 2 (0.2%) < 0.001
Fractures requiring secondary surgeries (n, %)* 64 (12.6%) 9 (1.0%) < 0.001
Fractures requiring complication surgeries (n, %)* 55 (10.8%) 6 (0.7%) < 0.001
Open fractures (n, %) 72 (13.4%) 15 (1.5%) < 0.001
Gustilo classification (n, %) 1 10 (1.9%) 8 (0.8%)  
2 18 (3.3%) 2 (0.2%)  
3a 17 (3.2%) 4 (0.4%)  
3b 19 (3.5%) 1 (0.1%)  
3c 8 (1.5%) 0 (0.0%)  
Mangled extremity (n, %) 15 (2.7%) 0 (0.0%) < 0.001
Nerve damage (n, %) 11 (2.0%) 3 (0.3%) < 0.001
Vascular damage (n, %) 15 (2.7%) 1 (0.1%) < 0.001
Fasciotomy (n, %)* 13 (2.5%) 0 (0.0%) < 0.001
Vascular repair needed (n, %)* 5 (1.0%) 0 (0.0%) 0.006
Soft tissue coverage (n, %)* 16 (3.1%) 0 (0.0%) < 0.001
Amputations* 11   0 (0.0%) < 0.001
  1. ORIF open reduction internal fixation, CRIF closed reduction internal fixation
  2. *Percentages are based on level I n = 509 and level II n = 914, excluding fractures lost to follow-up