INTRODUCTION: @entity174 of the lower extremity are relatively common @entity130 while multifocal @entity130 resulting from high-energy @entity130 are less frequently encountered. Our objectives are to characterise @entity1 who sustained multiple noncontiguous @entity174 and @entity4422 of the lower extremity, report the incidence of major complications, and identify factors that may contribute to complications and unplanned re-operations. @entity1 AND METHODS: A retrospective review of @entity1 was performed at a Level 1 @entity130 centre from 2000 to 2013. @entity1 who sustained two or more noncontiguous operative @entity174 in an ipsilateral lower extremity, with at least one open @entity174 were included. Noncontiguous was defined as @entity174 in the same lower limb that were not in continuity on preoperative radiographs or intra-operatively. @entity130 characteristics, and hospitalisation data were collected. Primary outcomes included non-union, @entity281 , and the need for unplanned surgeries. RESULTS: 257 @entity1 sustained a total of 876 lower extremity @entity174 with an average of 1.7 open and 2.7 operative @entity174 in the qualifying limb. Ninety-nine @entity1 (38.5%) sustained bilateral lower extremity @entity130 . Following their initial stay, 22.6% of @entity1 had planned procedures (definitive fixation, skin, or planned bone grafting). Nearly half (45.9%) required one or more unplanned re-operation. Complications included @entity281 (19.5%), non-unions (19.5%), and mal-unions (2.7%). 17.5% of the @entity1 had at least one procedure for @entity158 implants. A @entity281 was predictive of having a non-union (odds ratio, OR 7.5). The presence of a Gustilo-type IIIB/IIIC (OR 24.6/16.0) @entity174 was predictive of having a @entity281 . After excluding @entity158 , a type IIIB @entity174 was associated with an unplanned procedure (OR 13.8). CONCLUSIONS: @entity1 with multiple non-contiguous lower extremity @entity130 associated with @entity4422 can expect complications including non-unions, @entity281 , and @entity158 implants. Nearly half of the @entity1 will need further operative treatment.

Noncontiguous and XXXX of the lower extremity: Epidemiology, complications, and unplanned procedures.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'PATIENTS'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'Isolated fractures', 'fracture'] @entity4422 :: ('MESH:D005597', 'Disease') :: ['open fractures'] @entity281 :: ('MESH:D007239', 'Disease') :: ['deep infection', 'deep infections'] @entity158 :: ('MESH:D010146', 'Disease') :: ['removal of painful', 'painful implant removal', 'painful'] @entity130 :: ('MESH:D014947', 'Disease') :: ['injuries', 'Demographic, injury', 'trauma']
@entity4422 :: (MESH:D005597,Disease) :: ['open fractures']
