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Determinants of fracture patients in nonunion or delayed union



Abstract

Link of Video Abstract: https://youtu.be/QSRsiXuo-EU

 

Background: Fractures are a common cause in the present, where the main cause is trauma/injury. The ideal current fracture treatment is orthopedic surgery in the hospital, sometimes with bones that are not completely fused (non-union) or delayed union. This study aimed to determine the risk factor associated with the incidence of the non-union and delayed union in patients operated at Siloam General Hospital, Kupang, Indonesia.

Method: An observational retrospective study with a case-control design was conducted from January 2020 to June 2021 in Siloam Kupang Hospital, East Nusa Tenggara. The case involved patients experiencing non-union or delayed union complications, while the control involved fractured patients without both complications. Data were extracted from Electronic Medical Records (EMR) and then were analyzed by χ2 Cramer's V. The p<0.05 was significant.

Result: The study results found a relationship between smoking (p=0.000), open fracture (p=0.001), infections (p=0.000), time intervals between events and surgeries (p=0.000), high energy injury mechanisms (p=0.021), and crush injury (p=0.000) with non-union or delayed union events in fracture patients at Siloam Hospital Kupang.

Conclusion: The non-union and delayed union complications in fractured patients were related to smoking habits, open fracture, local infections, time intervals between events and surgeries, high energy injury mechanism, and crush injury.

Keywords: non-union delayed union risk factors

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How to Cite

Rante, S. D. T., S. M. J. Koamesah, Prisca Pakan, & Conrad Liab Hendricson Folamauk. (2023). Determinants of fracture patients in nonunion or delayed union. Bali Medical Journal, 12(2), 1769–1773. https://doi.org/10.15562/bmj.v12i2.4427
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