Debridement in open fractures
Conditions
Interventions
Group 1: Early group (Patients who underwent surgical debridement within 12 hours of injury)
Group 2: Late group (Patients who underwent surgical debridement at 12 or more hours from injury)
Sponsors
Christian Medical College, Vellore
Eligibility
Sex/Gender
All
Age
17 Years to No maximum
Inclusion criteria
Inclusion criteria: All adult, skeletally mature (as seen on radiographs) patients with grade 3 open fractures of the femur, tibia, or fibula, including intra-articular fractures, who provided informed and photographic consent.
Exclusion criteria
Exclusion criteria: Patients who had fractures involving the face, trunk, upper limb, spine, pelvis, patella, or foot; who underwent primary debridement elsewhere; who had unsalvageable limbs requiring urgent amputation and those who were unwilling to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fractures which have not united and compare between both study groups. To evaluate fractures which have not united at the end of 9 months clinically (by examination for abnormal mobility, tenderness at the fracture site and inability to stand on 1 leg) and radiologically (presence of atleast 3 out of 4 healed bony cortices). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To evaluate infection rates at the end of 9 months following surgery. 2. Patient quality of life (functional scores SF-36 and SMFA) compared between both groups. | — |
Countries
India
Contacts
Public ContactThilak Jepegnanam
Christian Medical College, Vellore
Outcome results
None listed