Global War on Terrorism Open Tibia Study

It is estimated that there have been several hundred tibia fractures that have occurred in the global war on terror. Little is known about the long-term consequences of these injuries and their treatment. Objective Our main objective is to determine significant predictors of poor outcome following open tibia fractures so that suitable modifications can be made to treatment and rehabilitative therapy. Of particular interest is an evaluation of differences in outcomes for various algorithms for the treatment of open tibia fractures. Specific Aims We aim to 1 describe the long term consequences of open tibia fractures 2 identify clinical and patient characteristics that explain variations in outcome and 3 make recommendations for treatment adjustments. Study Design Patients will be identified retrospectively. The retrospective cohort numbering approximately 430 will consist of all soldiers who meet the inclusion criteria and were injured as of September 30, 2006 and cared for at one of the participating facilities. Principal sources of data will include 1 clinical data abstracted from the medical record 2 baseline interviews and 3 a follow-up interview one-year following the baseline interview. Relevance This long term follow-up will provide a unique opportunity to 1 examine the benefits of different treatment modalities for open tibia fractures in a military population 2 identify ongoing needs for additional services 3 provide the basis for targeted interventions and 4 assist in assuring that these and future soldiers are provided with every opportunity for a good long-term outcome.