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Table 4 Surgical outcomes of study patients, 11 May 2018 to 31 October 2020, Gaza, Palestine

From: The integration of ortho-plastic limb salvage teams in the humanitarian response to violence-related open tibial fractures: evaluating outcomes in the Gaza Strip

Surgical Outcomes

All Patients (N = 244)

Orthopedic (N = 64)

Orthopedic and Plastic (N = 135)

Ortho-Plastic (N = 45)

p-value

Union – n (%)

     

 Yes

110 (47.0%)

26 (44.1%)

68 (51.9%)

16 (36.4%)

0.18†

 No (non-union)

124 (53.0%)

33 (55.9%)

63 (48.1%)

28 (63.6%)

 

Time till union# – [months, median (IQR)]

 

8.0 (4.0–14.0)

10.0 (5.8–16.0)

6.5 (4.0-14.3)

10.5 (4.8–12.0)

0.34⋆

 

216.0 (130.0-304.0)

257.0 (162.0-326.0)

212.0 (120.5–349.0)

190.0 (123.0-286.0)

 

Malalignment – n (%)

     

 Yes

19 (7.8%)

4 (6.3%)

12 (8.9%)

3 (6.7%)

0.85‡

 No

224 (92.2%)

59 (93.7%)

123 (91.1%)

42 (93.3%)

 

Shortening – n (%)

     

 Yes

86 (35.4%)

26 (41.3%)

45 (33.3%)

15 (33.3%)

0.53†

 No

157 (64.6%)

37 (58.7%)

90 (66.7%)

30 (66.7%)

 

Infection# – n (%)

     

 Yes

172 (92.5%)

42 (91.3%)

97 (92.4%)

33 (94.3%)

0.87‡

 No

14 (7.5%)

4 (8.7%)

8 (7.6%)

2 (5.7%)

 

Pin site Infection – n (%)

 Yes

168 (69.4%)

41 (65.1%)

94 (70.1%)

33 (73.3%)

0.63†

 No

74 (30.6%)

22 (34.9%)

40 (29.9%)

12 (26.7%)

 

Osteomyelitis& – n (%)

     

 Yes

46 (47.4%)

10 (41.7%)

26 (51.0%)

10 (45.5%)

0.74†

 No

51 (52.6%)

14 (58.3%)

25 (49.0%)

12 (54.5%)

 

Delayed Amputation – n (%)

 Yes

8 (3.4%)

1 (1.6%)

3 (2.3%)

4 (9.1%)

0.08‡

 No

227 (96.6%)

60 (98.4%)

127 (97.7%)

40 (90.9%)

 

Time in fixator#– [months, n (%)]

 < 12

109 (50.9%)

22 (40.7%)

67 (55.8%)

20 (50.0%)

0.26†

 ≥ 12-<24

71 (33.2%)

23 (42.6%)

37 (30.8%)

11 (27.5%)

 

 ≥ 24

34 (15.9%)

9 (16.7%)

16 (13.3%)

9 (22.5%)

 

Duration till complete soft tissue closure - [days, Median (IQR)]

 

31.5 (12.0–58.0)

3.0 (0.0-30.8)

36.0 (25.5–70.3)

20.5 (7.3–65.0)

< 0.001*

  1. *One-Way ANOVA
  2. †Pearson’s Chi-Square Test
  3. ‡Fisher’s Exact Test
  4. # There were 58 (23.8%) missing records for infection; 30 (12.3%) patients did not have a record for time in fixator; duration till union missing for 116 (47.5%) patients
  5. & No records on osteomyelitis available for 147 (60.2%) patients. When patients with missing osteomyelitis record were all assumed to have had osteomyelitis at some point during their follow-up, the prevalence of osteomyelitis was estimated of 79.1% (n = 193), versus 18.9% (n = 46) when they were considered as not having had it throughout their follow-up did. No statistical difference was observed between the groups in both cases
  6. [All % are calculated out of the available data]