{"id":17081,"date":"2023-11-30T15:55:00","date_gmt":"2023-11-30T20:55:00","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=17081"},"modified":"2023-12-07T16:03:10","modified_gmt":"2023-12-07T21:03:10","slug":"a-linked-population-based-analysis-of-severe-lower-extremity-traumas","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/a-linked-population-based-analysis-of-severe-lower-extremity-traumas\/","title":{"rendered":"A linked population-based analysis of severe lower extremity traumas in Ontario"},"content":{"rendered":"<p><strong>Background<\/strong>\u00a0 \u2014 Successful management of open tibial fractures often requires a multidisciplinary approach. Previous literature has shown that admission to a trauma centre and coordinated management of early bony fixation and soft-tissue reconstruction improve patient outcomes. The objective of this study was to describe patients who had open tibial fractures in Ontario and analyse their outcomes.<\/p>\n<p><strong>Method<\/strong>\u00a0 \u2014 Linked population-based administrative data pertaining to patients who had open tibia fractures between the years 2009 and 2020 were examined. Demographic information, admission location, timing of soft-tissue reconstruction, and complication rates were collected.<\/p>\n<p><strong>Results<\/strong>\u00a0 \u2014 4240 patients were identified. The mean age was 47, and the majority were males. One-third of the patients were admitted to a trauma centre. This group were more likely to have an Injury Severity Score &gt;15, and associated neurovascular injuries of the leg. When outcomes were compared over 1 year, the trauma centre group was more likely to undergo limb amputation, but also more likely to have a soft-tissue reconstruction. The average time to soft-tissue reconstruction was 20 days. Patients receiving care in a trauma centre were more likely to have an external fixation, plastic surgery consults, and longer hospital stay. There were no differences in the odds of infection, malunion or nonunion, and 30-day mortality.<\/p>\n<p><strong>Conclusions<\/strong>\u00a0 \u2014 These findings provide a comprehensive examination of the clinical course for patients experiencing open tibia fractures in Ontario. Future studies can help facilitate coordinated efforts between different specialties to expedite care and improve overall outcomes.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background\u00a0 \u2014 Successful management of open tibial fractures often requires a multidisciplinary approach. Previous literature has shown that admission to a trauma centre and coordinated management of early bony fixation and soft-tissue reconstruction improve patient outcomes. The objective of this study was to describe patients who had open tibial fractures in Ontario and analyse their [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[55],"migration-helper-qa-sample-set":[],"class_list":["post-17081","journal_article","type-journal_article","status-publish","hentry","topic-injuries-and-accidents"],"acf":{"citation":"Kim SM, McClure A, Reid J, Dubois L, Lawendy AR, Simpson AM. <em>Plast Surg (Oakv)<\/em>. 2023; Nov 30 [Epub ahead of print].","source_url":"https:\/\/doi.org\/10.1177\/22925503231217515","ices_scientist":[1211],"site":[6739],"research_program":[6743],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | A linked population-based analysis of severe lower extremity traumas in Ontario<\/title>\n<meta name=\"description\" content=\"Background\u00a0 \u2014 Successful management of open tibial fractures often requires a multidisciplinary approach. Previous literature has shown that admission to\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/a-linked-population-based-analysis-of-severe-lower-extremity-traumas\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | A linked population-based analysis of severe lower extremity traumas in Ontario\" \/>\n<meta property=\"og:description\" content=\"Background\u00a0 \u2014 Successful management of open tibial fractures often requires a multidisciplinary approach. Previous literature has shown that admission to\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/a-linked-population-based-analysis-of-severe-lower-extremity-traumas\/\" \/>\n<meta property=\"og:site_name\" content=\"ICES\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ICESOntario\/\" \/>\n<meta property=\"article:modified_time\" content=\"2023-12-07T21:03:10+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/a-linked-population-based-analysis-of-severe-lower-extremity-traumas\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/a-linked-population-based-analysis-of-severe-lower-extremity-traumas\\\/\",\"name\":\"ICES | A linked population-based analysis of severe lower extremity traumas in Ontario\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\"},\"datePublished\":\"2023-11-30T20:55:00+00:00\",\"dateModified\":\"2023-12-07T21:03:10+00:00\",\"description\":\"Background\u00a0 \u2014 Successful management of open tibial fractures often requires a multidisciplinary approach. Previous literature has shown that admission to\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/a-linked-population-based-analysis-of-severe-lower-extremity-traumas\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/a-linked-population-based-analysis-of-severe-lower-extremity-traumas\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/a-linked-population-based-analysis-of-severe-lower-extremity-traumas\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Journal Articles\",\"item\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"A linked population-based analysis of severe lower extremity traumas in Ontario\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\",\"name\":\"ICES\",\"description\":\"POPULATION-BASED HEALTH RESEARCH THAT MAKES A DIFFERENCE\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#organization\"},\"alternateName\":\"Institute for Clinical Evaluative Sciences\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#organization\",\"name\":\"ICES\",\"alternateName\":\"Institute for Clinical Evaluative Sciences\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/ices-logo.png\",\"contentUrl\":\"https:\\\/\\\/www.ices.on.ca\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/ices-logo.png\",\"width\":\"676\",\"height\":\"618\",\"caption\":\"ICES\"},\"image\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/ICESOntario\\\/\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/ices-research-institute\\\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"ICES | A linked population-based analysis of severe lower extremity traumas in Ontario","description":"Background\u00a0 \u2014 Successful management of open tibial fractures often requires a multidisciplinary approach. Previous literature has shown that admission to","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/a-linked-population-based-analysis-of-severe-lower-extremity-traumas\/","og_locale":"fr_FR","og_type":"article","og_title":"ICES | A linked population-based analysis of severe lower extremity traumas in Ontario","og_description":"Background\u00a0 \u2014 Successful management of open tibial fractures often requires a multidisciplinary approach. Previous literature has shown that admission to","og_url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/a-linked-population-based-analysis-of-severe-lower-extremity-traumas\/","og_site_name":"ICES","article_publisher":"https:\/\/www.facebook.com\/ICESOntario\/","article_modified_time":"2023-12-07T21:03:10+00:00","og_image":[{"width":1200,"height":675,"url":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/a-linked-population-based-analysis-of-severe-lower-extremity-traumas\/","url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/a-linked-population-based-analysis-of-severe-lower-extremity-traumas\/","name":"ICES | A linked population-based analysis of severe lower extremity traumas in Ontario","isPartOf":{"@id":"https:\/\/www.ices.on.ca\/fr\/#website"},"datePublished":"2023-11-30T20:55:00+00:00","dateModified":"2023-12-07T21:03:10+00:00","description":"Background\u00a0 \u2014 Successful management of open tibial fractures often requires a multidisciplinary approach. Previous literature has shown that admission to","breadcrumb":{"@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/a-linked-population-based-analysis-of-severe-lower-extremity-traumas\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/a-linked-population-based-analysis-of-severe-lower-extremity-traumas\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/a-linked-population-based-analysis-of-severe-lower-extremity-traumas\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.ices.on.ca\/fr\/"},{"@type":"ListItem","position":2,"name":"Journal Articles","item":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/"},{"@type":"ListItem","position":3,"name":"A linked population-based analysis of severe lower extremity traumas in Ontario"}]},{"@type":"WebSite","@id":"https:\/\/www.ices.on.ca\/fr\/#website","url":"https:\/\/www.ices.on.ca\/fr\/","name":"ICES","description":"POPULATION-BASED HEALTH RESEARCH THAT MAKES A DIFFERENCE","publisher":{"@id":"https:\/\/www.ices.on.ca\/fr\/#organization"},"alternateName":"Institute for Clinical Evaluative Sciences","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.ices.on.ca\/fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/www.ices.on.ca\/fr\/#organization","name":"ICES","alternateName":"Institute for Clinical Evaluative Sciences","url":"https:\/\/www.ices.on.ca\/fr\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.ices.on.ca\/fr\/#\/schema\/logo\/image\/","url":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/04\/ices-logo.png","contentUrl":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/04\/ices-logo.png","width":"676","height":"618","caption":"ICES"},"image":{"@id":"https:\/\/www.ices.on.ca\/fr\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/ICESOntario\/","https:\/\/www.linkedin.com\/company\/ices-research-institute\/"]}]}},"_links":{"self":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/journal_article\/17081","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/journal_article"}],"about":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/types\/journal_article"}],"acf:post":[{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/research_program\/6743"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/site\/6739"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1211"}],"wp:attachment":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/media?parent=17081"}],"wp:term":[{"taxonomy":"migration-helper-automated","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-helper-automated?post=17081"},{"taxonomy":"migration-manual","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-manual?post=17081"},{"taxonomy":"topic","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/topic?post=17081"},{"taxonomy":"migration-helper-qa-sample-set","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-helper-qa-sample-set?post=17081"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}