The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.
Incidence, Costs and Predictors of Non-Union, Delayed Union and Mal-Union Following Long Bone Fracture
Open accessAbstract
Fracture healing complications are common and result in significant healthcare burden. The aim of this study was to determine the rate, costs and predictors of two-year readmission for surgical management of healing complications (delayed, mal, non-union) following fracture of the humerus, tibia or femur. Humeral, tibial and femoral (excluding proximal) fractures registered by the Victorian Orthopaedic Trauma Outcomes Registry over five years (n = 3962) were linked with population-level hospital admissions data to identify two-year readmissions for delayed, mal or non-union. Study outcomes included hospital length-of-stay (LOS) and inpatient costs. Multivariable logistic regression was used to determine demographic and injury-related factors associated with admission for fracture healing complications. Of the 3886 patients linked, 8.1% were readmitted for healing complications within two years post-fracture, with non-union the most common complication and higher rates for femoral and tibial shaft fractures. Admissions for fracture healing complications incurred total costs of $4.9 million AUD, with a median LOS of two days. After adjusting for confounders, patients had higher odds of developing complications if they were older, receiving compensation or had tibial or femoral shaft fractures. Patients who are older, with tibial and femoral shaft fractures should be targeted for future research aimed at preventing complications.
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Cites
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Association Between Compensation Status and Outcome After Surgery: A Meta-analysis
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A Lack of Consensus in the Assessment of Fracture Healing Among Orthopaedic Surgeons
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Cited by
Wu, A.-M., Bisignano, C., James, S. L., Abady, G. G., Abedi, A., Abu-Gharbieh, E., Alhassan, R. K., Alipour, V., Arabloo, J., Asaad, M., et al. (2021) · The Lancet Healthy Longevity · doi:10.1016/s2666-7568(21)00172-0 · Cited by 1,291
Tan, S. H. S., Wong, J. R. Y., Sim, S. J. Y., Tjio, C. K. E., Wong, K. L., Chew, J. R. J., Hui, J. H. P., & Toh, W. S. (2020) · Materials Today Bio · doi:10.1016/j.mtbio.2020.100067 · Cited by 152
Smart implants in fracture care – Only buzzword or real opportunity
Ernst, M., Richards, R. G., & Windolf, M. (2021) · Injury · doi:10.1016/j.injury.2020.09.026 · Cited by 50
Ehlen, Q. T., Costello, J. P., Mirsky, N. A., Slavin, B. V., Parra, M., Ptashnik, A., Nayak, V. V., Coelho, P. G., & Witek, L. (2024) · ACS Biomaterials Science & Engineering · doi:10.1021/acsbiomaterials.4c01279 · Cited by 29
Rivera, K. O., Cuylear, D. L., Duke, V. R., O’Hara, K. M., Zhong, J. X., Elghazali, N. A., Finbloom, J. A., Kharbikar, B. N., Kryger, A. N., Miclau, T., et al. (2023) · Frontiers in Bioengineering and Biotechnology · doi:10.3389/fbioe.2023.1190371 · Cited by 22
Metadata
- Authors
- Ekegren, C. L., Edwards, E. R., De Steiger, R., & Gabbe, B. J.
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2018-12-13
- Volume
- 15
- Issue
- 12
- Pages
- 2845
- ISSN
- 1660-4601 (ISSN-L)
- OpenAlex
- W2904072138
- Cited by
- 305
- References
- 19
- FWCI
- 11.25
- Type
- journal article
- Language
- en
- Open access
- gold
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- CoChat. (2026). Citation check: Incidence, Costs and Predictors of Non-Union, Delayed Union and Mal-Union Following Long Bone Fracture. https://app.cochat.ai/papers/10.3390/ijerph15122845
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- Ekegren, C. L., Edwards, E. R., De Steiger, R., & Gabbe, B. J. (2018). Incidence, Costs and Predictors of Non-Union, Delayed Union and Mal-Union Following Long Bone Fracture. International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph15122845
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
