Is It Safe to Prep the External Fixator In Situ During Second-Stage Pilon Surgical Treatment?

Autor:	Nielsen PJ; Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, Omaha, NE., Grossman LS; Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, Omaha, NE., Siebler JC; Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, Omaha, NE., Lyden ER; Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, Omaha, NE., Reed LK; The University of Mississippi Medical Center, Jackson, MS., Mormino MA; Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, Omaha, NE.
Jazyk:	angličtina
Zdroj:	Journal of orthopaedic trauma [J Orthop Trauma] 2018 Mar; Vol. 32 (3), pp. e102-e105.
DOI:	10.1097/BOT.0000000000001050
Abstrakt:	Objective: To evaluate the infection rate of our protocol of prepping the external fixator in situ during definitive second-stage pilon fracture open reduction internal fixation. Design: Retrospective clinical investigation. Setting: Academic Level 1 Trauma Center. Patients/participants: Out of 229 patients with distal tibia fractures presenting to our institution from 1999 to 2014, 100 were treated in a 2-stage fashion utilizing this protocol. Intervention: Prepping the external fixator into the surgical field during the second-stage/definitive open reduction internal fixation procedure. Main Outcome Measurement: The rates of deep and superficial infections after definitive fixation. Results: The deep infection rate was 13%, and the superficial infection rate was 11%. Conclusions: Infection rates using this protocol are comparable to previously reported infection rates for two-stage surgical treatment of pilon fractures. This protocol provides the treating surgeon information about an alternative method to streamline definitive fixation. Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Databáze:	MEDLINE
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