The High Risk of Infection With Delayed Treatment of Open Seymour Fractures: Salter-Harris I/II or Juxta-epiphyseal Fractures of the Distal Phalanx With Associated Nailbed Laceration

Journal of Pediatric Orthopedics
Bryan A Reyes, Christine A Ho

Abstract

To describe treatment methods and complication rates of all open Seymour fractures (Salter-Harris I/II or juxta-epiphyseal fractures of the distal phalanx of the hand with associated nailbed laceration) treated at or referred to a pediatric level 1 trauma center over a 10-year time period. We hypothesized that delayed treatment of Seymour fractures results in higher infectious complication rates. We identified all patients treated for open Seymour fractures at the orthopaedic hand clinic at our level 1 pediatric trauma center between August 2002 and December 2012. All charts were reviewed retrospectively. Patients were divided into groups based on timing and completeness of treatment. "Appropriate" treatment was defined as irrigation and debridement, fracture reduction, and antibiotic administration. "Partial" treatment was defined as any type of incomplete treatment; "Acute" treatment was defined as management within 24 hours of the injury; and "Delayed" as having received treatment after 24 hours from the time of injury. Statistical comparisons were performed using the Fisher exact test. A total of 34 patients treated for 35 Seymour fractures met the inclusion criteria. In total, 31% (11/35) received acute, appropriate treatm...Continue Reading

References

Jun 1, 1992·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·A Banerjee
Aug 1, 1989·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·F M Hankin, D H Janda
Jun 2, 2001·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·M M Al-Qattan
Jun 17, 2005·Journal of Pediatric Orthopedics·Magid Ganayem, Gordon Edelson
Mar 1, 2006·Hand Clinics·Anastasios PapadonikolakisL Andrew Koman
Jul 18, 2006·Hand Clinics·Sheila G Lindley, Gabriel Rulewicz
Oct 6, 2007·The Journal of Bone and Joint Surgery. American Volume·Peter M Waters
Jan 29, 2013·The Journal of Hand Surgery·Irena Krusche-MandlPatrick Platzer
Nov 12, 2013·The Journal of Hand Surgery·Joshua M Abzug, Scott H Kozin

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Citations

Jul 19, 2018·The Journal of Bone and Joint Surgery. American Volume·Alex McLarenSandra B Nelson
Aug 28, 2018·Plastic and Reconstructive Surgery·Waleed GibreelKarim Bakri
Oct 26, 2018·Journal of Pediatric Orthopedics·James S LinJulie Balch Samora
Jul 11, 2019·Journal of Orthopaedic Trauma·Jaime R Denning, Charles T Mehlman
Jun 27, 2020·Surgical Infections·Mursal GardeziDioscaris R Garcia
Oct 11, 2019·Hand : Official Journal of the American Association for Hand Surgery·Richard SamadeJulie Balch Samora
Feb 26, 2020·Plastic and Reconstructive Surgery. Global Open·Ashwin VenkateshAina Greig
Oct 8, 2020·Journal of Pediatric Orthopedics·Daniel B C ReidCraig P Eberson
Nov 30, 2019·Pediatric Clinics of North America·Alice ChuOmkar Baxi
Dec 11, 2020·Journal of Pediatric Orthopedics·Courtney E BakerA Noelle Larson
Feb 1, 2021·The Journal of Pediatrics·Emil Stefan VutescuCraig P Eberson
Nov 18, 2020·Hand Clinics·Bryan BourlandJohn D Lubahn
Feb 25, 2021·Annals of Plastic Surgery·Ja Hea GuJae Hee Yoon

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