Open fractures and the incidence of infection in the surgical debridement 6 hours after trauma

Acta ortopedica brasileira
Miguel de Castro FernandesMarcelo Hide Matsumoto

Abstract

To determine whether a time delay greater than 6h from injury to surgical debridement influences the infection rate in open fractures. During a period of 18 months, from October 2010 to March 2012, 151 open fractures were available for study in 142 patients in our hospital. The data were collected prospectively and the patients were followed up for 6 weeks. The patients were divided into two groups regarding the time delay from injury to surgical debridement (more or less than 6 hours). Surgical debridement was carried out in less than 6h from injury in 90 (59.6%) fractures and after 6 hours from injury in 61 (40.4%) fractures. Infection rates were 12.22% and 13.24%, respectively. The global infection rate was 13.24%. A significantly increased infection rate was not observed in patients whose surgical debridement occurred more than 6h after injury. However, in the fractures of high-energy trauma, a statistically significant increase of the rate of infection was observed in those operated 6 hours after trauma. Level of Evidence II, Study Type Comparative and Prospective.

References

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Citations

Aug 12, 2017·Journal of Orthopaedic Trauma·Sheila SpragueMohit Bhandari
Sep 17, 2016·Emergency Medicine Journal : EMJ·Michael R WhitehouseMatthew L Costa
Jul 27, 2017·International Orthopaedics·Kirsten KortramMichael H J Verhofstad
Apr 8, 2020·International Journal of Microbiology·Ali A MahdiMustafa M Al-Qaisi
Mar 14, 2020·Nigerian Journal of Surgery : Official Publication of the Nigerian Surgical Research Society·Njoku Isaac Omoke, Francis Oji Ekumankama
Nov 3, 2020·Journal of Clinical Orthopaedics and Trauma·Ravi GuptaGladson David Masih
May 19, 2021·Scientific Reports·Nike WalterVolker Alt

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