Factor | Total |
Union |
Nonunion |
||||
---|---|---|---|---|---|---|---|
(n = 62) | (n = 50) | (n = 12) | p-value | ||||
Sex, male | 46 | (74) | 38 | (76) | 8 | (67) | 0.5 |
Age | 32 | [16–85] | 30 | [16–85] | 40 | [11.7] | 0.2 |
Injury Severity Score | 25 | [17–48] | 26 | [17–48] | 24 | [4.9] | 0.3 |
New Injury Severity Score | 27 | [17–50] | 27 | [17–50] | 28 | [6.2] | 0.6 |
Femur fracture localization | |||||||
Shaft | 43 | (69) | 36 | (72) | 7 | (58) | 0.5 |
Distal | 19 | (31) | 14 | (28) | 5 | (42) | 0.5 |
Type of femur fractures (AO): | |||||||
Simple extra-articular | 27 | (44) | 29 | (60) | 6 | (50) | 0.8 |
Complex extra-articular | 21 | (34) | 10 | (20) | 3 | (25) | 0.7 |
Intra-articular | 14 | (23) | 11 | (22) | 3 | (25) | 1.0 |
Soft tissue injury (Gustilo) | |||||||
0: closed fracture | 35 | (57) | 29 | (58) | 6 | (50) | 0.5 |
1: wound <1cm | 8 | (13) | 5 | (10) | 3 | (25) | 0.2 |
2: wound >1 cm | 6 | (10) | 5 | (10) | 1 | (8) | 1.0 |
3a: adequate soft tissue cover | 4 | (7) | 3 | (6) | 1 | (8) | 1 |
3b: inadequate soft tissue cover | 2 | (3) | 2 | (4) | 0 | 1 | |
3c: associated arterial injury | 0 | 0 | 0 | ||||
Unknown | 7 | (11) | 6 | (12) | 1 | (8) | |
Type of fixation | |||||||
External fixation + IMN | 6 | (10) | 5 | (10) | 1 | (8) | 1 |
External fixation + plates | 9 | (15) | 7 | (14) | 2 | (17) | 1 |
External fixation + screws | 1 | (2) | 1 | (2) | 0 | 1 | |
IMN | 35 | (57) | 30 | (60) | 5 | (42) | 0.4 |
Plates | 10 | (16) | 6 | (12) | 4 | (33) | 0.1 |
Screws | 1 | (2) | 1 | (2) | 0 | 1 | |
Number of surgical procedures | 3 | [1–18] | 3 | [1–13] | 3 | [1–18] | 0.4 |
Inflammatory complications | |||||||
Urinary tract infection | 6 | (10) | 5 | (10) | 1 | (8) | 1 |
Surgical site infection | 3 | (5) | 2 | (4) | 1 | (8) | 0.5 |
Pneumonia | 10 | (16) | 9 | (18) | 1 | (8) | 0.7 |
MODS | 3 | (5) | 2 | (4) | 1 | (8) | 0.5 |
Nonunion | 13 | (21) | |||||
Atrophic | 11 | (18) | 11 | (92) | |||
Hypertrophic | 1 | (2) | 1 | (8) | |||
Infected nonunion | 2 | (3) | 2 | (17) | |||
ICU stay (days) | 2 | [0–68] | 2 | [0–46] | 0 | [0–68] | 0.2 |
Hospital stay (days) | 20 | [4–154] | 20 | [4–95] | 16 | [4–154] | 0.3 |
Baseline variables of patients with nonunion are compared with baseline variables of patients with union with the use of Fisher’s exact test or Mann-Whitney U test as indicated. IMN = intramedullary nailing, ICU = intensive care unit, MODS = multiple organ dysfunction syndrome.