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Polytraumatized patient lower extremity nonunion development: Raw data.

Neil R Sardesai1, Greg E Gaski2, Zachary J Gunderson3

  • 1Center for Orthopaedic Specialists, 18133 Ventura Blvd, Suite 302, Tarzana, CA 91356, USA.

Data in Brief
|July 14, 2021
PubMed
Summary
This summary is machine-generated.

A high base deficit (BD) in polytraumatized patients indicates acute anaerobic metabolism and is a significant risk factor for fracture nonunion. Early identification of elevated BD can help predict healing complications in severe trauma.

Keywords:
Base deficitFracture healingNonunionPolytraumaShock

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Area of Science:

  • Trauma Surgery
  • Orthopedic Surgery
  • Critical Care Medicine

Background:

  • Polytraumatized patients often experience acute anaerobic metabolism.
  • Fracture nonunion is a serious complication in severe trauma.
  • The relationship between metabolic markers and fracture healing requires further investigation.

Purpose of the Study:

  • To evaluate the pathomechanistic effect of acute anaerobic metabolism on fracture nonunion in polytraumatized patients.
  • To determine if base deficit (BD) is a risk factor for fracture nonunion.
  • To identify predictors of fracture healing complications in severe trauma.

Main Methods:

  • Retrospective review of medical charts for patients (age ≥16, ISS >16) with tibia or femur fractures (2013-2018).
  • Data collected included demographics, nonunion risk factors, injury characteristics (ISS, GCS), and metabolic markers (BD).
  • Fracture union/nonunion and deep infection were assessed via radiographs and clinical notes.

Main Results:

  • A base deficit (BD) ≥6 within 24 hours of injury was identified as a risk factor for fracture nonunion.
  • Injury Severity Score (ISS) and Glasgow Coma Scale (GCS) were also recorded.
  • Deep infection was defined by operative treatment prior to fracture healing.

Conclusions:

  • Elevated base deficit (BD) is a significant predictor of fracture nonunion in polytraumatized patients.
  • Early metabolic derangements may impair fracture healing.
  • This finding aids in risk stratification and management of severe trauma patients with fractures.