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Nature and healing of tibial shaft fractures in alcohol abusers

Nyquist, Fredrik LU ; Berglund, Mats LU ; Nilsson, Bo E and Obrant, Karl LU (1997) In Alcohol and Alcoholism 32(1). p.91-95
Abstract
Alcohol abuse is associated with an increased risk of osteopenia and fractures. Previous histomorphometric studies on iliac crest bone have found decreased bone formation and increased bone resorption in alcohol abusers but it has not been established whether alcohol abuse has any effect on the anatomical location or the healing time of tibial shaft fractures. We studied, retrospectively, 199 adult male patients hospitalized for isolated tibial shaft fracture in the city of Malmo, Sweden, between 1980 and 1990. Forty-nine of the patients had earlier been registered at the Department of Alcohol Diseases and were judged to be problem drinkers. Abusers sustained their tibial shaft fractures more often by falling at ground level (P <... (More)
Alcohol abuse is associated with an increased risk of osteopenia and fractures. Previous histomorphometric studies on iliac crest bone have found decreased bone formation and increased bone resorption in alcohol abusers but it has not been established whether alcohol abuse has any effect on the anatomical location or the healing time of tibial shaft fractures. We studied, retrospectively, 199 adult male patients hospitalized for isolated tibial shaft fracture in the city of Malmo, Sweden, between 1980 and 1990. Forty-nine of the patients had earlier been registered at the Department of Alcohol Diseases and were judged to be problem drinkers. Abusers sustained their tibial shaft fractures more often by falling at ground level (P < 0.0001) or from a higher level (P = 0.009) and the fractures were more often oblique than transverse (P = 0.002) as compared with non-abusers. Healing time was impaired in abusers who had sustained a transverse fracture (P = 0.035), but no difference was observed in healing time in those with a oblique fracture. We found no difference between the abusers and the non-abusers regarding duration of hospital stay, fracture location, amount of displacement, occurrence of open fractures or the rate of complications. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Alcohol and Alcoholism
volume
32
issue
1
pages
91 - 95
publisher
Oxford University Press
external identifiers
  • pmid:9131898
  • scopus:0031057362
ISSN
1464-3502
language
English
LU publication?
yes
id
2a4e7ebf-77aa-4a9c-9f6e-1ca4a8150677 (old id 1111826)
alternative location
http://alcalc.oxfordjournals.org/cgi/reprint/32/1/91
date added to LUP
2008-07-18 13:55:36
date last changed
2017-10-22 03:37:04
@article{2a4e7ebf-77aa-4a9c-9f6e-1ca4a8150677,
  abstract     = {Alcohol abuse is associated with an increased risk of osteopenia and fractures. Previous histomorphometric studies on iliac crest bone have found decreased bone formation and increased bone resorption in alcohol abusers but it has not been established whether alcohol abuse has any effect on the anatomical location or the healing time of tibial shaft fractures. We studied, retrospectively, 199 adult male patients hospitalized for isolated tibial shaft fracture in the city of Malmo, Sweden, between 1980 and 1990. Forty-nine of the patients had earlier been registered at the Department of Alcohol Diseases and were judged to be problem drinkers. Abusers sustained their tibial shaft fractures more often by falling at ground level (P &lt; 0.0001) or from a higher level (P = 0.009) and the fractures were more often oblique than transverse (P = 0.002) as compared with non-abusers. Healing time was impaired in abusers who had sustained a transverse fracture (P = 0.035), but no difference was observed in healing time in those with a oblique fracture. We found no difference between the abusers and the non-abusers regarding duration of hospital stay, fracture location, amount of displacement, occurrence of open fractures or the rate of complications.},
  author       = {Nyquist, Fredrik and Berglund, Mats and Nilsson, Bo E and Obrant, Karl},
  issn         = {1464-3502},
  language     = {eng},
  number       = {1},
  pages        = {91--95},
  publisher    = {Oxford University Press},
  series       = {Alcohol and Alcoholism},
  title        = {Nature and healing of tibial shaft fractures in alcohol abusers},
  volume       = {32},
  year         = {1997},
}