What are the Risk Factors for Deep Infection in OTA/AO 43C Pilon Fractures?

2020 ◽  
Vol 34 (6) ◽  
pp. e189-e194 ◽  
Author(s):  
Clay A. Spitler ◽  
Robert Miles Hulick ◽  
John Weldy ◽  
Katherine Howell ◽  
Patrick F. Bergin ◽  
...  
Keyword(s):  
Risk Factors ◽  
Deep Infection ◽  
Pilon Fractures

scholarly journals Risk factors of deep infection in operatively treated pilon fractures (AO/OTA: 43)

2015 ◽  
Vol 12 ◽  
pp. S7-S13 ◽  
Author(s):  
Cesar S. Molina ◽  
Daniel J. Stinner ◽  
Andrew R. Fras ◽  
Jason M. Evans
Keyword(s):  
Risk Factors ◽  
Deep Infection ◽  
Pilon Fractures

Risk Factors for Infection and Subsequent Adverse Clinical Results in the Setting of Operatively Treated Pilon Fractures

2022 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Teja Yeramosu ◽  
Jibanananda Satpathy ◽  
Paul W Perdue ◽  
Clarence B Toney ◽  
Jesse T Torbert ◽  
...  
Keyword(s):  
Risk Factors ◽  
Clinical Results ◽  
Pilon Fractures

Preoperative Risk Factors for Complications in Elective Ankle and Hindfoot Reconstruction

2017 ◽  
Vol 11 (1) ◽  
pp. 54-60 ◽  
Author(s):  
Ryan P. Mulligan ◽  
Kevin J. McCarthy ◽  
Benjamin J. Grear ◽  
David R. Richardson ◽  
Susan N. Ishikawa ◽  
...  
Keyword(s):  
Risk Factors ◽  
Retrospective Chart Review ◽  
Reoperation Rate ◽  
Deep Infection ◽  
Foot And Ankle ◽  
Psychological Variables ◽  
Reconstruction Methods ◽  
Increased Risk ◽  
Retrospective Comparative Study ◽  
Alcohol Users

Background. The purpose of this study was to examine medical, social, and psychological factors associated with complications and reoperation after foot and ankle reconstruction. Methods. A retrospective chart review was conducted of 132 patients (135 feet; 139 operative cases) who had elective foot and ankle reconstruction. Medical, social, and psychological variables were documented. Primary outcomes included complications and reoperations. Results. The overall complication rate was 28% (39/139), and the reoperation rate was 17% (24/139). Alcohol use (P = .03) and preoperative narcotic use (P = .02) were risk factors for complications, with delayed wound healing more frequent in alcohol users (P = .03) and deep infection (P = .045) and nonunion (P = .046) more frequent preoperative narcotic use. Deep infection also was more frequent in tobacco users (P < .01). Older patients were less likely to undergo reoperation (risk of reoperation increased with age). Other variables were not associated with increased complications. Conclusion. Patients who consumed alcohol or had been prescribed any amount of narcotic within 3 months preoperatively were at increased risk for complications. Patients who smoked were more likely to have a wound infection. Surgeons should be aware of these factors and counsel patients before surgery. Levels of Evidence: Level III: Retrospective comparative study

scholarly journals Deep infection after hip hemiarthroplasty: risk factors for infection and outcome of treatments

2021 ◽  
Vol 2 (11) ◽  
pp. 958-965
Author(s):  
Simon Craxford ◽  
Ben A. Marson ◽  
Jessica Nightingale ◽  
Adeel Ikram ◽  
Yuvraj Agrawal ◽  
...  
Keyword(s):  
Risk Factors ◽  
Joint Infection ◽  
Binary Logistic Regression ◽  
Deep Infection ◽  
Success Rates ◽  
Implant Retention ◽  
Cemented Arthroplasty ◽  
Deep Surgical Site Infection ◽  
One Year ◽  
Excision Arthroplasty

Aims Deep surgical site infection (SSI) remains an unsolved problem after hip fracture. Debridement, antibiotic, and implant retention (DAIR) has become a mainstream treatment in elective periprosthetic joint infection; however, evidence for DAIR after infected hip hemiarthroplaty is limited. Methods Patients who underwent a hemiarthroplasty between March 2007 and August 2018 were reviewed. Multivariable binary logistic regression was performed to identify and adjust for risk factors for SSI, and to identify factors predicting a successful DAIR at one year. Results A total of 3,966 patients were identified. The overall rate of SSI was 1.7% (51 patients (1.3%) with deep SSI, and 18 (0.45%) with superficial SSI). In all, 50 patients underwent revision surgery for infection (43 with DAIR, and seven with excision arthroplasty). After adjustment for other variables, only concurrent urinary tract infection (odds ratio (OR) 2.78, 95% confidence interval (CI) 1.57 to 4.92; p < 0.001) and increasing delay to theatre for treatment of the fracture (OR 1.31 per day, 95% CI 1.12 to 1.52; p < 0.001) were predictors of developing a SSI, while a cemented arthroplasty was protective (OR 0.54, 95% CI 0.31 to 0.96; p = 0.031). In all, nine patients (20.9%) were alive at one year with a functioning hemiarthroplasty following DAIR, 20 (46.5%) required multiple surgical debridements after an initial DAIR, and 18 were converted to an excision arthroplasty due to persistent infection, with six were alive at one year. The culture of any gram-negative organism reduced success rates to 12.5% (no cases were successful with methicillin-resistant Staphylococcus aureus or Pseudomonas infection). Favourable organisms included Citrobacter and Proteus (100% cure rate). The all-cause mortality at one year after deep SSI was 55.87% versus 24.9% without deep infection. Conclusion Deep infection remains a devastating complication regardless of the treatment strategy employed. Success rates of DAIR are poor compared to total hip arthroplasty, and should be reserved for favourable organisms in patients able to tolerate multiple surgical procedures. Cite this article: Bone Jt Open 2021;2(11):958–965.

Risk Factors for Postoperative Deep Infection After Malignant Bone Tumor Surgery of the Extremities

2020 ◽  
Vol 40 (6) ◽  
pp. 3551-3557
Author(s):  
MICKHAEL BANG LANGIT ◽  
SHINJI MIWA ◽  
NORIO YAMAMOTO ◽  
KATSUHIRO HAYASHI ◽  
AKIHIKO TAKEUCHI ◽  
...  
Keyword(s):  
Risk Factors ◽  
Bone Tumor ◽  
Deep Infection ◽  
Malignant Bone Tumor ◽  
Tumor Surgery

The Judicious Use of Early Fixation of Closed, Complete Articular Pilon Fractures is Not Associated with Increased Risk of Deep Infection or Wound Complications

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Jeffrey J. Olson ◽  
Krishna Anand ◽  
Arvind von Keudell ◽  
John G. Esposito ◽  
Edward K. Rodriguez ◽  
...  
Keyword(s):  
Deep Infection ◽  
Wound Complications ◽  
Increased Risk ◽  
Early Fixation ◽  
Pilon Fractures

Bacteriology and Risk Factors for Development of Late (Greater Than One Year) Deep Infection Following Spinal Fusion With Instrumentation

2014 ◽  
Vol 2 (3) ◽  
pp. 186-190 ◽  
Author(s):  
Jaren LaGreca ◽  
Mark Hotchkiss ◽  
Patrick Carry ◽  
Kevin Messacar ◽  
Ann-Christine Nyquist ◽  
...  
Keyword(s):  
Risk Factors ◽  
Spinal Fusion ◽  
Deep Infection ◽  
One Year

scholarly journals Risk factors for surgical site infection of pilon fractures

Clinics ◽  
2015 ◽  
Vol 70 (6) ◽  
pp. 419-422 ◽  
Author(s):  
T Ren ◽  
L Ding ◽  
F Xue ◽  
Z He ◽  
H Xiao
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Site Infection ◽  
Pilon Fractures

Risk factors for deep infection after total knee arthroplasty: a meta-analysis

2013 ◽  
Vol 133 (5) ◽  
pp. 675-687 ◽  
Author(s):  
Jie Chen ◽  
Yunying Cui ◽  
Xin Li ◽  
Xiangwan Miao ◽  
Zhanpeng Wen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Meta Analysis ◽  
Deep Infection ◽  
Total Knee

scholarly journals Risk factors for postoperative deep infection in bone tumors

PLoS ONE ◽  
2017 ◽  
Vol 12 (11) ◽  
pp. e0187438 ◽  
Author(s):  
Shinji Miwa ◽  
Toshiharu Shirai ◽  
Norio Yamamoto ◽  
Katsuhiro Hayashi ◽  
Akihiko Takeuchi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Bone Tumors ◽  
Deep Infection
Sign in / Sign up

Export Citation Format

Share Document