| |
Diabetic |
Non-diabetic |
| |
|
|
p-values |
|
|
|
p-values |
| EBGS (N=479) |
LIPUS (N=183) |
No-stim (N=742) |
EBGS vs. No- stim |
LIPUS vs. No- stim |
EBGS vs. LIPUS |
EBGS (N=2951) |
LIPUS (N=1251) |
No-stim (N=6022) |
EBGS vs. No-stim |
LIPUS vs. No-stim |
EBGS vs. LIPUS |
| % |
% |
% |
% |
% |
% |
| Open fracture (%) |
1.7 |
0.6 |
4.9 |
<0.01 |
0.01 |
0.26 |
2.9 |
2.0 |
4.4 |
<0.01 |
<0.01 |
0.10 |
| Fracture location (%) |
|
|
|
<0.01 |
<0.01 |
0.13 |
|
|
|
<0.01 |
<0.01 |
0.12 |
| Clavicle |
0.8 |
3.8 |
4.5 |
|
|
|
6.9 |
7.1 |
8.8 |
|
|
|
| Humerus |
5.9 |
7.1 |
11.6 |
|
|
|
5.2 |
4.2 |
5.7 |
|
|
|
| Radius and ulna |
5.4 |
7.1 |
7.8 |
|
|
|
6.2 |
6.7 |
10.5 |
|
|
|
| Carpal |
2.1 |
1.6 |
5.5 |
|
|
|
8.5 |
8.3 |
15.8 |
|
|
|
| Metacarpal |
0.4 |
0.6 |
1.6 |
|
|
|
1.5 |
0.6 |
2.2 |
|
|
|
| Phalanges of hand |
0.4 |
0.0 |
3.4 |
|
|
|
0.9 |
0.9 |
5.6 |
|
|
|
| Neck of femur |
1.3 |
1.1 |
5.3 |
|
|
|
1.0 |
0.9 |
2.9 |
|
|
|
| Other parts of femur |
2.3 |
3.3 |
4.6 |
|
|
|
2.3 |
3.3 |
2.1 |
|
|
|
| Tibia and fibula |
8.4 |
7.1 |
5.7 |
|
|
|
9.9 |
11.8 |
5.5 |
|
|
|
| Ankle |
9.2 |
14.2 |
15.6 |
|
|
|
7.8 |
8.6 |
9.5 |
|
|
|
| Tarsal and metatarsal bones |
60.5 |
52.5 |
25.1 |
|
|
|
46.5 |
43.9 |
23.6 |
|
|
|
| Phalanges of foot |
1.7 |
0.0 |
4.7 |
|
|
|
2.3 |
2.6 |
3.8 |
|
|
|
| Other |
1.6 |
1.7 |
4.8 |
|
|
|
0.9 |
1.4 |
4.0 |
|
|
|
| Fracture-related treatments in the 9 months before the index date (%) |
| Cast/splint |
33.2 |
36.6 |
23.5 |
<0.01 |
<0.01 |
0.41 |
32.1 |
30.1 |
24.4 |
<0.01 |
<0.01 |
0.20 |
| Application of external fixation device |
3.6 |
4.9 |
4.0 |
0.66 |
0.60 |
0.42 |
3.1 |
4.4 |
2.6 |
0.25 |
<0.01 |
0.03 |
| Closed reduction without internal fixation |
4.4 |
2.7 |
6.5 |
0.12 |
0.05 |
0.33 |
4.4 |
5.1 |
4.0 |
0.35 |
0.08 |
0.34 |
| Closed reduction with internal fixation |
1.3 |
3.3 |
2.3 |
0.19 |
0.44 |
0.08 |
1.8 |
2.0 |
3.3 |
<0.01 |
0.02 |
0.60 |
| Open reduction without internal fixation |
10.7 |
10.9 |
12.8 |
0.26 |
0.49 |
0.92 |
12.5 |
10.2 |
8.2 |
<0.01 |
0.02 |
0.03 |
| Open reduction with internal fixation |
20.5 |
17.5 |
20.9 |
0.86 |
0.30 |
0.39 |
20.8 |
19.3 |
13.7 |
<0.01 |
<0.01 |
0.28 |
| Bone graft |
1.0 |
4.9 |
1.8 |
0.32 |
0.01 |
<0.01 |
2.5 |
2.4 |
1.5 |
<0.01 |
0.02 |
0.79 |
| Arthroscopy |
1.3 |
2.7 |
2.3 |
0.19 |
0.73 |
0.18 |
2.6 |
3.2 |
2.1 |
0.14 |
0.02 |
0.29 |
| Complications during the 9 month pre-index period (%) |
| Injury to blood vessel of upper or lower limb |
0.2 |
0.0 |
0.3 |
0.83 |
0.48 |
0.54 |
0.4 |
0.5 |
0.3 |
0.43 |
0.43 |
0.86 |
| Injury to nerve of upper or lower limb |
1.0 |
0.5 |
0.3 |
0.08 |
0.56 |
0.55 |
0.3 |
0.5 |
0.9 |
<0.01 |
0.15 |
0.39 |
| Secondary and recurrent hemorrhage |
0.0 |
0.0 |
0.0 |
NA |
NA |
NA |
0.0 |
0.0 |
0.0 |
NA |
NA |
NA |
| Posttraumatic wound infection |
0.6 |
0.5 |
0.8 |
0.72 |
0.71 |
0.91 |
0.3 |
0.4 |
0.3 |
0.96 |
0.71 |
0.76 |
| Traumatic compartment syndrome |
0.2 |
0.0 |
0.1 |
0.75 |
0.62 |
0.54 |
0.3 |
0.1 |
0.1 |
0.05 |
0.84 |
0.22 |
| Septicemia/bacteremia |
1.9 |
1.1 |
2.8 |
0.29 |
0.18 |
0.48 |
0.4 |
0.8 |
0.5 |
0.64 |
0.22 |
0.15 |
| Mechanical complication of internal orthopedic device/implant/graft |
4.4 |
6.0 |
6.3 |
0.15 |
0.87 |
0.38 |
3.4 |
3.6 |
3.5 |
0.72 |
0.92 |
0.74 |
| Infection and inflammatory reaction due to internal prosthetic device/implant/graft |
2.5 |
1.1 |
3.2 |
0.46 |
0.12 |
0.26 |
1.1 |
1.5 |
1.3 |
0.44 |
0.56 |
0.28 |
| Blood transfusion |
4.8 |
5.5 |
8.4 |
0.02 |
0.19 |
0.73 |
2.0 |
4.8 |
3.0 |
<0.01 |
<0.01 |
<0.01 |
| Treatments in the 12 months after the index date (%) |
| Any fracture related treatment |
18.4 |
16.9 |
20.0 |
|
|
|
16.7 |
19.5 |
24.7 |
|
|
|
| Cast/splint |
0.50 |
0.36 |
0.67 |
<0.01 |
<0.01 |
0.03 |
| Application of external fixation device |
2.3 |
1.6 |
3.1 |
0.40 |
0.28 |
0.60 |
1.3 |
1.4 |
2.1 |
<0.01 |
0.11 |
0.63 |
| Closed reduction without internal fixation |
1.3 |
2.2 |
1.2 |
0.95 |
0.32 |
0.38 |
1.4 |
1.4 |
1.3 |
0.81 |
0.86 |
0.99 |
| Closed reduction with internal fixation |
0.0 |
0.0 |
0.8 |
0.05 |
0.22 |
NA |
0.1 |
0.2 |
0.3 |
0.11 |
0.66 |
0.45 |
| Open reduction without internal fixation |
4.0 |
4.9 |
12.7 |
<0.01 |
<0.01 |
0.59 |
6.3 |
6.9 |
15.8 |
<0.01 |
<0.01 |
0.47 |
| Open reduction with internal fixation |
7.5 |
16.4 |
24.8 |
<0.01 |
0.02 |
<0.01 |
11.1 |
13.5 |
24.2 |
<0.01 |
<0.01 |
0.02 |
| Bone graft |
9.6 |
18.0 |
25.7 |
<0.01 |
0.03 |
<0.01 |
17.3 |
22.9 |
32.5 |
<0.01 |
<0.01 |
<0.01 |
| Arthroscopy |
1.5 |
3.8 |
4.7 |
<0.01 |
0.60 |
0.06 |
3.4 |
3.7 |
5.7 |
<0.01 |
<0.01 |
0.64 |