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Volume 7 Issue 2 ( July-December ) 2018

Original Articles

Complications and Revision Surgery in Orthopedics Focusing on Traumatology
Penchala Pradeep Batta

Introduction: Orthopedic traumatology, dealing primarily with injuries to the musculoskeletal system, often requires immediate and complex interventions to restore function and reduce pain. Objectives: The basic aim of the study is to find the complications and revision surgery in orthopedics focusing on traumatology. Methodology: This study aimed to analyze the incidence, causes, and outcomes of complications leading to revision surgery in orthopedic traumatology. A retrospective cohort design was utilized, involving a total of 240 patients who underwent orthopedic trauma surgeries and required subsequent revision procedures due to complications. The data was collected from hospital records over a period of five years, ensuring a comprehensive analysis of various factors contributing to post-operative complications in trauma cases. Results: Data were collected from 240 patients. Nonunion was the second most common, with 12 patients (25%), followed by malunion in 9 patients (18.75%). Implant failure occurred in 6 patients (12.5%), and other complications, such as soft tissue issues, accounted for 3 cases (6.25%). These findings highlight infection and bone healing issues as major contributors to revision needs in orthopedic trauma. Patients aged 60 and older had a 30% increased risk of complications, primarily facing nonunion and implant failure, likely due to age-related reductions in bone density and healing capacity. Similarly, patients with high-energy fractures exhibited a 25% increased risk, also predominantly experiencing nonunion and implant failure. Conclusion: It is concluded that infection, nonunion, and malunion are the primary complications in orthopedic trauma surgeries leading to revision procedures. While revision surgeries generally improve patient outcomes, older age and high-energy fractures increase complication risks.

 
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