Factors related to bone healing in patients with shaft tibia fracture underwent open reduction internal fixation
Keywords:
factors related to bone healing, shaft tibia fractureAbstract
This retrospective study aimed to explore bone healing factors in patients with shaft tibia fracture who underwent open reduction internal fixation (ORIF) admitted in a tertiary hospital in Khon Kaen Province. Data were collected from 360 medical records of shaft tibia fracture patients who underwent ORIF surgery. The study instruments consisted of a personal and health data record from and a bone healing factor record form. The content validity of the record forms was examined by three experts and obtained content validity index (CVI) of 1.0. Data analysis was done using descriptive statistics and logistic regression analysis.
The study findings showed that the factors statistically related to bone healing were bone fracture of 1-2 pieces (OR Adj = 3.36; 95%CI=1.33 – 8.53; p – value = 0.011), bone fracture with partial intact (OR Adj = 7.51; 95%CI=1.68 - 33.66; p – value = 0.008), injury of only 1 site (OR Adj =1.97; 95%CI=1.04 -3.88; p – value = 0.048), and non-infection (OR Adj = 10.73; 95%CI=5.18-22.20; p – value < 0.001). Factors non-statistically associated with bone healing were smoking, close fracture, mild injury severity, and waiting time for operation.
Nurses can apply the results of study in caring for patients considering related factors for close caring and monitor complications after bone fracture, including fracture more than 2-pieces of bone, non-intact fracture, injury more than 1 site, and especially, infection. It should focus mainly on infection prevention, which will dramatically increase the risk of bone nonunion. Future research should develop a risk assessment tool for bone nonunion and guideline for the patients according to risk level
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