PMID: 16648699May 2, 2006Paper

The risk of local infective complications after damage control procedures for femoral shaft fracture

Journal of Orthopaedic Trauma
Paul J HarwoodHans-Christoph Pape

Abstract

To determine infection rates after damage control orthopaedics (DCO) and primary intramedullary nailing (1' IMN) in multiply injured patients with femoral shaft fracture. Retrospective case analysis. Level I trauma center. All patients with New Injury Severity Score (NISS) >20 and femoral shaft fracture (AO 32-) treated in our unit between 1996 and 2002. Damage control orthopaedics, defined as primary external fixation of the femoral shaft fracture and subsequent conversion to an intramedullary nail, or primary IMN. Rates of infection classified as contamination (positive swabs with no clinical change), superficial, deep (requiring surgery), and removal of hardware (those requiring removal of femoral instrumentation or amputation). A total of 173 patients with 192 fractures were included; 111 fractures were treated by DCO and 81 by primary IMN. Mean follow-up was 19.1 months [median, 16.7, range, 1 (patient died)-67 months]. DCO patients had a significantly higher NISS and more grade III open fractures (P<0.001). IMN procedures took a median of 150 minutes compared with 85 minutes for DCO (P<0.0001). Although wound contamination (including contaminated pin sites) was more common in the DCO group (P<0.05), the risk of infectious...Continue Reading

References

Jan 1, 1987·The Journal of Trauma·S A GreenT J Moore
Apr 1, 1995·The Surgical Clinics of North America·F A Moore, E E Moore
Apr 1, 1994·The British Journal of Surgery·M E Ribet
Dec 1, 1993·The British Journal of Surgery·A Hirshberg, K L Mattox
Jan 1, 1996·Journal of Orthopaedic Trauma·P GregoryD Teague
Sep 1, 1996·Journal of Pediatric Orthopedics·N de SanctisS Della Corte
Aug 1, 1997·The Surgical Clinics of North America·A Hirshberg, R Walden
Aug 1, 1997·The Surgical Clinics of North America·R R Martin, M Byrne
Aug 26, 1998·Archives of Orthopaedic and Trauma Surgery·A KapukayaK Yildirim
Mar 24, 1999·The Journal of Trauma·P R WolinskyK Johnson
May 29, 1999·AACN Clinical Issues·J Mikhail
Jul 18, 2000·The Surgical Clinics of North America·V A EddyD C Cullinane
Nov 22, 2000·The Journal of Trauma·M B ShapiroM F Rotondo
May 3, 2001·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·J C ClasperP E Watkins
Jul 4, 2002·American Journal of Surgery·Hans-Christoph PapeChristian Krettek
Dec 11, 2002·Acta chirurgica Belgica·J J De Waele, F E G Vermassen
Jun 10, 2003·The Journal of Bone and Joint Surgery. British Volume·P V Giannoudis
Aug 7, 2003·Journal of Orthopaedic Trauma·A Dushi ParameswaranMichael Voor
Aug 13, 2003·The Journal of Trauma·Chin-En ChenChing-Jen Wang
Oct 14, 2003·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Michelle D KofronCato T Laurencin

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Citations

Mar 3, 2007·Der Unfallchirurg·P KobbeH C Pape
Feb 1, 2007·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Wolfgang DaeckeJohannes Frank
Feb 1, 2009·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Charles E Dumont, Ulrich G Exner
May 25, 2016·Revista Brasileira De Ortopedia·Noel Oizerovici FoniRalph Walter Christian
Oct 16, 2015·Injury·Hagen AndruszkowHans-Christoph Pape
Jun 5, 2008·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Hans-Christoph Pape
Oct 13, 2016·Postgraduate Medical Journal·Lauren Elizabeth ThomsonRichard Jackson
May 16, 2012·British Journal of Nursing : BJN·Jennie Walker
Nov 11, 2017·Acta orthopaedica et traumatologica turcica·Adel EbrahimpourMohammad-Reza Minator Sajjadi
Nov 25, 2011·Journal of Pediatric Orthopedics. Part B·Michael ToWang Chow
Oct 13, 2009·The Journal of Trauma·Rupal M ModyGlenn Wortmann
Mar 20, 2008·The Journal of Trauma·Clinton K MurrayJason H Calhoun
Apr 29, 2009·Journal of Orthopaedic Trauma·Arup K Bhadra, Craig S Roberts
Sep 1, 2007·Journal of Orthopaedic Trauma·Thomas F Higgins, Daniel S Horwitz
Dec 21, 2018·Journal of Orthopaedic Trauma·Louis R LewandowskiUNKNOWN Trauma Infectious Disease Outcomes Study Group
Mar 24, 2021·The Orthopedic Clinics of North America·Peter R Wasky, Michael J Beltran

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