No Difference in Short-Term Complications following Treatment of Closed Tibial Shaft Fractures with Intramedullary Nailing versus Plate Fixation
Table 2
Incidence of adverse events for patients undergoing tibial IMN vs ORIF.
IMN (27759) unmatched
ORIF (27758) unmatched
value
IMN matched
ORIF matched
value
Overall matched
No. (2136)
Rate (%)
No.
Rate
No. (621)
Rate
No.
Rate
No. (1242)
Rate (%)
Any adverse event
145
6.78
55
8.86
0.088
44
7.09
55
8.86
0.292
99
7.97
Death
8
0.374
5
0.805
0.184
5
0.805
3
0.805
0.742
8
0.644
Wound dehiscence
1
0.046
3
0.483
0.040
0
0
3
0.483
0.264
3
0.242
Sepsis
10
0.468
3
0.483
1
2
0.322
3
0.483
1
5
0.403
Pulmonary embolism
7
0.328
2
0.322
1
2
0.322
2
0.322
1
4
0.322
Renal complication
6
0.281
0
0
0.342
2
0.322
0
0
0.493
2
0.161
Myocardial infarction
5
0.234
2
0.322
1
2
0.322
2
0.322
1
4
0.322
Cardiac arrest
2
0.094
0
0
1
0
0
0
0
1
0
0
Stroke
1
0.047
0
0
1
0
0
0
0
1
0
0
Transfusion
65
3.043
27
4.35
0.134
18
2.90
27
4.35
0.207
45
3.62
DVT
10
0.468
2
0.322
0.746
3
0.483
2
0.322
1
5
0.403
UTI
23
1.077
9
1.45
0.488
8
1.29
9
1.45
1
17
1.37
Pneumonia
37
1.732
8
1.29
0.492
10
1.61
8
1.29
0.821
18
1.45
Intubation issues
10
0.468
1
0.161
0.490
1
0.161
1
0.161
1
2
0.16
SSI
13
0.609
11
1.77
0.001
5
0.805
11
1.77
0.209
16
1.29
Return to the OR
28
1.311
14
2.25
0.093
10
1.61
14
2.25
0.528
24
1.93
Any adverse event (AAE): superficial and deep surgical site infection, organ space infection, renal failure or insufficiency, intubation (fail to wean or reintubation), post-operative transfusion, pneumonia, DVT, PE, UTI, stroke, cardiac arrest, MI–spell out, return to the OR; DVT: deep vein thrombosis; UTI: urinary tract infection; SSI: surgical site infection; OR: operating room; Intubation issues: re-intubation or failure to wean from intubation; Renal complication: progressive renal insufficiency or renal failure.
