Table 1. Characteristics of the Study Participants.
Characteristic | Negative Pressure Wound Therapy Group (n = 226) | Standard Treatment Group (n = 234) |
---|---|---|
Age, y | ||
Mean (SD) | 46.1 (19.9) | 44.5 (19.0) |
Median (IQR) | 42 (29-61) | 44 (26-57) |
Height, mean (SD), m | 1.74 (0.12) | 1.72 (0.16) |
Weight, mean (SD), kg | 80.9 (16.8) | 80.9 (19.4) |
Male, No. (%) | 178 (78.8) | 164 (70.1) |
Diabetes, No. (%) | 14 (6.2) | 13 (5.6) |
Smoker, No. (%) | 70 (31.0) | 79 (33.8) |
No. of cigarettes/d, mean (SD) | 15.4 (10.9) | 15.3 (10.4) |
No. of years smoking, mean (SD) | 17.6 (12.4) | 17.4 (12.0) |
Employment, No. (%) | ||
Employed | 147 (65.0) | 160 (68.4) |
Retired or inactive | 44 (19.5) | 44 (18.8) |
Unemployed | 28 (12.4) | 25 (10.7) |
Unknown | 7 (3.1) | 5 (2.1) |
Mechanism of injury, No. (%) | ||
Road traffic crash | 125 (55.3) | 139 (59.4) |
Low-energy fall | 34 (15.0) | 39 (16.7) |
High-energy fall | 34 (15.0) | 25 (10.7) |
Crush injury | 17 (7.5) | 19 (8.1) |
Other | 13 (5.8) | 9 (3.8) |
Contact sports injury | 3 (1.3) | 1 (0.4) |
Unknown | 0 (0) | 2 (0.9) |
Injuries associated with the open fracture, No. (%)a | 58 (25.7) | 76 (32.5) |
Upper limb | 17 (7.5) | 32 (13.7) |
Chest | 24 (10.6) | 22 (9.4) |
Spine | 21 (9.3) | 22 (9.4) |
Head | 14 (6.2) | 11 (4.7) |
Pelvis | 8 (3.5) | 15 (6.4) |
Ipsilateral lower limb | 6 (2.7) | 16 (6.8) |
Contralateral lower limb | 4 (1.8) | 14 (6.0) |
Abdomen | 3 (1.3) | 12 (5.1) |
Gustilo and Anderson grade, No. (%)b | ||
Grade II | 34 (15.0) | 30 (12.8) |
Grade III | 171 (75.7) | 180 (76.9) |
Grade III + IV | 21 (9.3) | 24 (10.3) |
Fracture fixation, No. (%) | ||
External fixator-half-pin | 107 (47.3) | 111 (47.4) |
Nail | 49 (21.7) | 56 (23.9) |
Plate and screws | 38 (16.8) | 32 (13.7) |
Other | 21 (9.3) | 21 (9.0) |
External fixator-fine-wire | 3 (1.3) | 11 (4.7) |
Wires or tension band wires | 7 (3.1) | 3 (1.3) |
Unknown | 1 (0.4) | 0 (0) |
Abbreviation: IQR, interquartile range.
Some study participants had multiple injuries with the open fracture.
Type II is an open fracture with a laceration more than 1 cm long without extensive soft-tissue damage, flaps, or avulsions; type III, either an open segmental fracture or an open fracture with extensive soft-tissue damage; and type VI, type III with a vascular injury requiring surgical repair.