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