Elderly tibial shaft fractures: Open fractures are not associated with increased mortality rates

Abstract

Objectives This study aims to assess whether elderly patients (>65 years) with open tibial shaft fractures (OFs) have increased mortality rates than those with closed fractures (CFs). Patients and methods Patients admitted during 2003–2005 with open/closed diaphyseal (AO 42) fractures of the tibia were eligible to participate. Exclusion criteria Pathological and peri-prosthetic fractures. Results A total of 54 patients (38 females) met the inclusion criteria. Twenty-six patients had sustained CF and 28 OF (Gustilo grade I (11), grade II (five), grade IIIa (two) and grade IIIb (10)). The OF group was statistically significantly different with higher injury severity score, secondary procedures and length of hospital stay ( p < 0.05). A higher rate of admission/length of stay to intensive care unit and complication rate was noted in the OF group. Mortality rate between the two groups was comparable (CF = 2/26, OF = 3/28). Conclusions Elderly patients with OFs of the tibial shaft have similar mortality rate to those with CFs.