Infections after intramedullary fixation of trochanteric fractures are uncommon and implant removal is not usually needed.

Autor: Halonen LM; Department of Orthopedics and Traumatology, University of Helsinki and Helsinki University Hospital, Finland. Electronic address: lauri.m.halonen@helsinki.fi., Stenroos A; Department of Orthopedics and Traumatology, University of Helsinki and Helsinki University Hospital, Finland., Vasara H; Department of Orthopedics and Traumatology, University of Helsinki and Helsinki University Hospital, Finland., Huotari K; Department of Infectious Diseases, University of Helsinki and Helsinki University Hospital, Finland., Kosola J; Department of Orthopedics and Traumatology, Kanta-Häme Central Hospital, Finland.
Jazyk: angličtina
Zdroj: Injury [Injury] 2021 Jun; Vol. 52 (6), pp. 1511-1516. Date of Electronic Publication: 2020 Oct 17.
DOI: 10.1016/j.injury.2020.10.076
Abstrakt: Background and Purpose: Infections after intramedullary fixation of trochanteric femoral fractures are rare, but potentially life-threatening complications. There are limited data available to support decision making in these cases.
Patients and Methods: A retrospective study of 995 consecutive operatively treated trochanteric fractures was made to find out different risk factors for infection and to describe the results of treatment.
Results: 28 patients developed a surgical site infection (2.8%) after intramedullary fixation of trochanteric fracture. 15 patients (1.5%) had a deep and 13 patients (1.3%) a superficial surgical site infection. Cigarette smoking (p<0.05) and prolonged operative time (p<0.05) were significant risk factors for an infection. 15 of 28 patients needed revision surgeries. Implant removal or exchange was needed only for 4 of 28 patients: 1 exchange of the blade, 1 removal of additional cable used to assist reduction and 2 removals of distal locking screws. None of the patients needed additional surgeries for problems with fracture healing. Mortality was not increased among patients with an infection.
Interpretation: Infection after intramedullary fixation of trochanteric fractures can be successfully treated without removal or exchange of the fixation material.
Competing Interests: Declaration of Competing Interest There was no financial support for the research. No writing aid obtained.
(Copyright © 2020. Published by Elsevier Ltd.)
Databáze: MEDLINE
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