Research Article

No Difference in Short-Term Complications following Treatment of Closed Tibial Shaft Fractures with Intramedullary Nailing versus Plate Fixation

Table 2

Incidence of adverse events for patients undergoing tibial IMN vs ORIF.

IMN (27759) unmatchedORIF (27758) unmatchedvalueIMN matchedORIF matchedvalueOverall matched
No. (2136)Rate (%)No.RateNo. (621)RateNo.RateNo. (1242)Rate (%)

Any adverse event1456.78558.860.088447.09558.860.292997.97
Death80.37450.8050.18450.80530.8050.74280.644
Wound dehiscence10.04630.4830.0400030.4830.26430.242
Sepsis100.46830.483120.32230.483150.403
Pulmonary embolism70.32820.322120.32220.322140.322
Renal complication60.281000.34220.322000.49320.161
Myocardial infarction50.23420.322120.32220.322140.322
Cardiac arrest20.0940010000100
Stroke10.0470010000100
Transfusion653.043274.350.134182.90274.350.207453.62
DVT100.46820.3220.74630.48320.322150.403
UTI231.07791.450.48881.2991.451171.37
Pneumonia371.73281.290.492101.6181.290.821181.45
Intubation issues100.46810.1610.49010.16110.161120.16
SSI130.609111.770.00150.805111.770.209161.29
Return to the OR281.311142.250.093101.61142.250.528241.93

Any adverse event (AAE): superficial and deep surgical site infection, organ space infection, renal failure or insufficiency, intubation (fail to wean or reintubation), post-operative transfusion, pneumonia, DVT, PE, UTI, stroke, cardiac arrest, MI–spell out, return to the OR; DVT: deep vein thrombosis; UTI: urinary tract infection; SSI: surgical site infection; OR: operating room; Intubation issues: re-intubation or failure to wean from intubation; Renal complication: progressive renal insufficiency or renal failure.