The length of the hospitalisation of patients that underwent intramedillary osteosynthesis

Uvod: Liječenje prijeloma kostiju oduvijek je predstavljalo ozbiljan problemu u medicini kojemu se do sredine 19. stoljeća pristupalo uglavnom konzervativno. Razvoju kirurških tehnika uvelike su pridonijeli otkriće anestezioloških i antiseptičkih sredstava te rendgenskih zraka. Intramedularna osteosinteza (IO) najmlađa je kirurška tehnika koja je pokazala brojne prednosti kod liječenja dugih cjevastih kostiju u odnosu na druge kirurške tehnike. Jedna od tih prednosti je i kraće vrijeme hospitalizacije. Ciljevi: Ispitati prosječno trajanje hospitalizacije u pacijenata podvrgnutih IO humerusa, femura i tibije te ispitati postoji li razlika u duljini hospitalizacije s obzirom na spol, odnosno s obzirom na dob ispitanika. Nacrt studije: Presječna studija. Materijali i metode: Pretraživanjem operacijskih protokola u Općoj bolnici Nova Gradiška izdvojena su 63 pacijenta podvrgnuta IO u razdoblju od 2008. do 2018. godine. Daljnji podatci prikupljeni su pregledom bolničke arhive. Varijable predviđene za analizu uključivale su spol, dob, dijagnozu te duljinu hospitalizacije. Rezultati: Od ukupno 63 slučaja, 22 se odnosilo na humerus, 18 na femur i 23 na tibiju. Aritmetička sredina trajanja hospitalizacije pacijenata podvrgnutih IO humerusa iznosi približno 9 dana, isto kao kod tibije, dok kod femura iznosi približno 14 dana. Zamijećene su razlike u duljini hospitalizacije s obzirom na spol kod sve tri kosti, no te razlike nisu statistički značajne. Također nije utvrđena statistički značajna povezanost duljine hospitalizacije i dobi. Zaključak: Trajanje hospitalizacije pokazalo se kao najduže u pacijenata podvrgnutih IO femura, dok su pacijenti podvrgnuti IO tibije i humerusa bili podjednako dugo hospitalizirani.Introduction: Long bone fracture treatments have always been a serious problem in medicine and until the mid-19th century, fractures were being treated primarily conservatively. The evolution of surgical treatments was greatly influenced by the introduction of anesthetics, antiseptics and X-rays. Intramedullary osteosynthesis (IO) is the youngest surgical technique which showed many advantages in treating long bone fractures compared to other methods. One of those advantages is also the shorter length of hospital stay. Objectives: To examine the average length of hospital stay of patients who underwent IO of humerus, femur and tibia and to determine whether there is a difference in length of stay when taking into consideration gender and age of patients. Study Design: Cross-sectional study Participants and Methods: By examining operational protocols in the General Hospital Nova Gradiška, 63 patients who underwent IO in the period from 2008 to 2018 were found. Furthermore, additional data was gathered from the hospital archive. Variables intended for analysis were as follows: gender, age, diagnosis and length of hospital stay. Results: Out of the 63 cases, 22 pertained to humerus, 18 to femur and 23 to tibia. The mean length of hospital stay for patients who underwent IO of humerus was 9 days, same as for those who had IO of tibia. Those who had IO of femur had a mean length of stay of 14 days. Differences regarding gender were recorded in the case of all three bones, however, they are of no statistical significance. Moreover, there was no statistically significant correlation between the length of hospitalization and age. Conclusion: The length of hospital stay was found to be the longest among patients who underwent IO of femur, whereas patients who underwent IO of tibia and humerus had a similar length of hospital stay