Table 2 Comparison of operative details in lower extremity trauma injury
From: Impact of establishing a level-1 trauma center for lower extremity trauma: a 4-year experience
Before center Group 1 (n, %) | After center Group 2 (n, %) | Total | χ2 (p) | ||
|---|---|---|---|---|---|
Gustilo‒Anderson type | l | 31 (21.4) | 23 (18.0) | 54 (19.8) | 3.941 (0.558) |
ll | 60 (40.7) | 44 (34.4) | 104 (37.7) | ||
lllA | 13 (9.0) | 15 (11.7) | 28 (10.3) | ||
lllB | 17 (11.7) | 17 (13.3) | 34 (12.5) | ||
lllC | 24 (16.6) | 29 (22.7) | 53 (19.4) | ||
Existence of infection | 30 (20.7) | 26 (23.5) | 56 (20.6) | 0.002 (0.005) | |
Bony loss | < 5 cm | 132 (91.0) | 113 (88.3) | 245 (89.7) | 0.560 (0.454) |
≥ 5 cm | 13 (9.0) | 15 (11.7) | 28 (10.3) | ||
External fixator | 49 (33.8) | 21 (16.5) | 70 (25.7) | 10.550 (0.001) | |
Vessel injury | ATA | 3 (2.1) | 6 (4.7) | 9 (3.3) | 5.307 (0.218) |
PTA | 2 (1.4) | 5 (3.9) | 7 (2.6) | ||
Peroneal | 0 (0.0) | 1 (0.8) | 1 (0.4) | ||
Others | 3 (2.1) | 5 (3.9) | 8 (2.9) | ||
Angioplasty | 1 (0.7) | 5 (3.9) | 6 (2.2) | 3.272 (0.070) | |
Time to emergency operation (hours, mean ± SD) | 13.89 ± 17.48 | 11.65 ± 19.33 | 0.031 | ||
Plastic surgery department intervention | 59 (46.1) | 74 (51.4) | 133 (48.9) | 11.760 (0.003) | |
Reconstructive option | Skin graft | 17 (43.6) | 20 (40.0) | 37 (41.6) | 19.363 (< 0.001) |
Local flap | 6 (15.4) | 2 (4.0) | 8 (9.0) | ||
Free flap | 5 (12.8) | 25 (50.0) | 30 (33.7) | ||
Debridement | 11 (28.2) | 3 (6.0) | 14 (15.7) | ||
Complications | 15 (10.3) | 10 (7.8) | 25 (9.2) | 0.524 (0.469) | |
Patient survival | 141 (97.2) | 126 (98.4) | 267 (97.8) | 0.453 (0.501) | |