Early versus delayed application of Thomas splints in patients with isolated femur shaft fractures: The benefits quantified.

Détails

ID Serval
serval:BIB_A3A294A64C30
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Early versus delayed application of Thomas splints in patients with isolated femur shaft fractures: The benefits quantified.
Périodique
Injury
Auteur⸱e⸱s
Hoppe S., Keel M.J., Rueff N., Rhoma I., Roche S., Maqungo S.
ISSN
1879-0267 (Electronic)
ISSN-L
0020-1383
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
46
Numéro
12
Pages
2410-2412
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish
Résumé
AIMS: To investigate and quantify the clinical benefits of early versus delayed application of Thomas splints in patients with isolated femur shaft fractures.
MATERIALS AND METHODS: Level IV retrospective clinical and radiological analysis of patients presenting from January to December 2012 at a Level 1 Trauma Unit. All skeletally mature patients with isolated femur shaft fractures independently of their mechanism of injury were included. Exclusion criteria were: ipsilateral fracture of the lower limb, neck and supracondylar femur fractures, periprosthetic and incomplete fractures. Their clinical records were analysed for blood transfusion requirements, pulmonary complications, surgery time, duration of hospital stay and analgesic requirements.
RESULTS: A total of 106 patients met our inclusion criteria. There were 74 males and 32 females. Fifty seven (54%) patients were in the 'early splinted' group and 49 patients (46%) were in the 'delayed splinted' group (P>0.05). The need for blood transfusion was significantly reduced in the 'early splinted' group (P=0.04). There was a significantly higher rate of pulmonary complications in the 'delayed splinted' group (P=0.008). All other parameters were similar between the two groups.
CONCLUSION: The early application of Thomas splints for isolated femur fractures in non-polytraumatised patients has a clinically and statistically significant benefit of reducing the need for blood transfusions and the incidence of pulmonary complications.
Mots-clé
Femur shaft fractures, Thomas splint, Traction splint, Complications, Blood loss, Outcome
Pubmed
Web of science
Création de la notice
10/01/2016 15:32
Dernière modification de la notice
20/08/2019 15:09
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