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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

Return to duty after type III open tibia fracture.

Jessica D Cross1, Daniel J Stinner, Travis C Burns

  • 1Brooke Army Medical Center, Fort Sam Houston, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234, USA. jessica.cross@us.army.mil

Journal of Orthopaedic Trauma
|September 3, 2011
PubMed
Summary

Soldiers with severe open tibia fractures in combat have a low return to duty (RTD) rate. Salvaged limbs offer a better chance of RTD compared to amputation, though overall rates remain low.

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Area of Science:

  • Orthopaedic Surgery
  • Military Medicine
  • Trauma Surgery

Background:

  • Battlefield orthopaedic injuries, specifically Type III open tibia fractures, have a high incidence.
  • Long-term outcomes and return to duty (RTD) status following these severe combat injuries are understudied.
  • Understanding RTD rates is crucial for soldier rehabilitation and military readiness.

Purpose of the Study:

  • To determine the return to duty (RTD) rate for soldiers who sustained Type III open tibia fractures during active combat.
  • To identify factors influencing RTD in this specific patient population.
  • To compare RTD rates between different treatment outcomes (limb salvage vs. amputation).

Main Methods:

  • Retrospective review of 115 soldiers with battle-related Type III open tibia fractures.
  • Analysis of the Army Physical Evaluation Board database to ascertain RTD status and disability ratings.
  • Statistical analysis to identify significant factors affecting RTD.

Main Results:

  • The overall RTD rate was 18%.
  • Isolated open fractures had a RTD rate of 22%, salvaged extremities 20.5%, and amputees 12.5%.
  • Older age and higher rank were associated with increased likelihood of RTD; amputees had higher disability ratings.

Conclusions:

  • Despite severe combat wounds, a significant percentage of soldiers with salvaged Type III open tibia fractures (20%) and isolated injuries (22%) can return to active duty.
  • These RTD rates are comparable to those reported for civilian amputees.
  • Amputees in this cohort demonstrated a lower likelihood of returning to duty and higher disability ratings.