Infected hardware after surgical stabilization of rib fractures: Outcomes and management experience

The Journal of Trauma and Acute Care Surgery
Cornelius A ThielsBrian D Kim

Abstract

Surgical stabilization of rib fracture (SSRF) is increasingly used for treatment of rib fractures. There are few data on the incidence, risk factors, outcomes, and optimal management strategy for hardware infection in these patients. We aimed to develop and propose a management algorithm to help others treat this potentially morbid complication. We retrospectively searched a prospectively collected rib fracture database for the records of all patients who underwent SSRF from August 2009 through March 2014 at our institution. We then analyzed for the subsequent development of hardware infection among these patients. Standard descriptive analyses were performed. Among 122 patients who underwent SSRF, most (73%) were men; the mean (SD) age was 59.5 (16.4) years, and median (interquartile range [IQR]) Injury Severity Score was 17 (13-22). The median number of rib fractures was 7 (5-9) and 48% of the patients had flail chest. Mortality at 30 days was 0.8%. Five patients (4.1%) had a hardware infection on mean (SD) postoperative day 12.0 (6.6). Median Injury Severity Score (17 [range, 13-42]) and hospital length of stay (9 days [6-37 days]) in these patients were similar to the values for those without infection (17 days [range, 13-2...Continue Reading

References

Jan 22, 1970·The New England Journal of Medicine·F A WaldvogelM N Swartz
Nov 25, 1998·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·E F BerbariD R Osmon
Apr 2, 1999·Clinical Orthopaedics and Related Research·J T MaderJ H Calhoun
Jan 12, 2001·Clinical Orthopaedics and Related Research·J W SperlingR H Cofield
Aug 7, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·A F Widmer
Jun 19, 2003·The Journal of Trauma·Mahlon A Kerr-ValenticJohn C Mayberry
Apr 9, 2004·The New England Journal of Medicine·Rabih O Darouiche
May 9, 2006·The American Surgeon·Ram NirulaLewis B Somberg
Jan 16, 2008·Clinical Orthopaedics and Related Research·Eric RightmireMark Vrahas
Oct 27, 2010·Thoracic Surgery Clinics·Tamas F Molnar
Dec 27, 2012·The Journal of Trauma and Acute Care Surgery·Bruce SimonUNKNOWN Eastern Association for the Surgery of Trauma
Jan 1, 2014·Plastic and Reconstructive Surgery·James D KretlowShayan A Izaddoost
May 17, 2014·American Journal of Surgery·Boris KesselRicardo Alfici
Sep 7, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Mark Nikolaj WieseDidier Lardinois
Mar 6, 2015·The Journal of Trauma and Acute Care Surgery·Fredric M PieracciGregory J Jurkovich

❮ Previous
Next ❯

Citations

Nov 5, 2016·Current Opinion in Critical Care·Peter Majak, Pål A Næss
May 17, 2018·Trauma Surgery & Acute Care Open·Marc de MoyaWalter Biffl
Nov 27, 2019·JBJS Case Connector·Rebecca AllenBabak Sarani
Sep 11, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Alvaro Gargur AssuncaoFredric M Pieracci
Apr 14, 2020·The Journal of Trauma and Acute Care Surgery·Jesse PeekR Marijn Houwert
Apr 16, 2018·Injury·Sarah KouroucheKate Curtis

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Related Papers

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
Ashraf F HefnyFikri M Abu-Zidan
Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery
Christos G MihosNirat Beohar
European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
S M SaidB D Kim
© 2022 Meta ULC. All rights reserved