Risk of infection and conversion time from external to definitive fixation in open tibial fracture
Abstract Background An open fracture of the tibia is one of the most common and dangerous type of open fractures. In the management of these injuries, the primary focus is on reducing the infection rate, as this is crucial for achieving the best clinical outcomes. This study aims to explore how prov...
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| Format: | Article |
| Language: | English |
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BMC
2024-12-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-024-05350-2 |
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| author | Wazzan S. Aljuhani Yasir A. Alshabi Abdullah M. Alanazi Meshal A. Alothri Saleh A. Almutairi Ziad A. Aljaafri Abdullah M. Alzahrani |
| author_facet | Wazzan S. Aljuhani Yasir A. Alshabi Abdullah M. Alanazi Meshal A. Alothri Saleh A. Almutairi Ziad A. Aljaafri Abdullah M. Alzahrani |
| author_sort | Wazzan S. Aljuhani |
| collection | DOAJ |
| description | Abstract Background An open fracture of the tibia is one of the most common and dangerous type of open fractures. In the management of these injuries, the primary focus is on reducing the infection rate, as this is crucial for achieving the best clinical outcomes. This study aims to explore how provisional external fixation duration influences the rates of infection and union in open tibial shaft fractures. Methods A retrospective study with a total of 55 patients who received temporary external fixation. Groups A (less than 12 days), B (12–24), C (25–36), and D (more than 36) were the four groups into which they were split according to the conversion time. Results 12.8%, 18.2%, 50%, and 100% of the infections were found in Groups A, B, C, and D, respectively. Significant (P < 0.05) differences were found throughout the four groups. The conversion time from external to definitive fixation was found to have a relationship with the occurrence of an infection (P = 0.004). A higher prevalence of infection was observed over time. However, no association was observed between infection and antibiotic duration or initial debridement time (P = 0.689 and P = 0.963, respectively). Conclusions Results of this study demonstrate that the likelihood of infection increases when the change from external fixation to definitive internal fixation is delayed. Therefore, it is important to convert to definitive internal fixation immediately when the local and general conditions are favorable for doing so. |
| format | Article |
| id | doaj-art-b0ca91c4786c4a0386d18a6e1ada202b |
| institution | Kabale University |
| issn | 1749-799X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj-art-b0ca91c4786c4a0386d18a6e1ada202b2025-02-02T12:34:21ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2024-12-011911510.1186/s13018-024-05350-2Risk of infection and conversion time from external to definitive fixation in open tibial fractureWazzan S. Aljuhani0Yasir A. Alshabi1Abdullah M. Alanazi2Meshal A. Alothri3Saleh A. Almutairi4Ziad A. Aljaafri5Abdullah M. Alzahrani6Department of Orthopedic Surgery, Ministry of the National Guard – Health AffairsDepartment of Orthopedic Surgery, King Fahad Hospital, Ministry of HealthDepartment of Orthopedic Surgery, Ministry of the National Guard – Health AffairsDepartment of Orthopedic Surgery, Prince Sultan Military Medical CityDepartment of Orthopedic Surgery, Ministry of the National Guard – Health AffairsDepartment of Orthopedic Surgery, Ministry of the National Guard – Health AffairsDepartment of Orthopedic Surgery, Ministry of the National Guard – Health AffairsAbstract Background An open fracture of the tibia is one of the most common and dangerous type of open fractures. In the management of these injuries, the primary focus is on reducing the infection rate, as this is crucial for achieving the best clinical outcomes. This study aims to explore how provisional external fixation duration influences the rates of infection and union in open tibial shaft fractures. Methods A retrospective study with a total of 55 patients who received temporary external fixation. Groups A (less than 12 days), B (12–24), C (25–36), and D (more than 36) were the four groups into which they were split according to the conversion time. Results 12.8%, 18.2%, 50%, and 100% of the infections were found in Groups A, B, C, and D, respectively. Significant (P < 0.05) differences were found throughout the four groups. The conversion time from external to definitive fixation was found to have a relationship with the occurrence of an infection (P = 0.004). A higher prevalence of infection was observed over time. However, no association was observed between infection and antibiotic duration or initial debridement time (P = 0.689 and P = 0.963, respectively). Conclusions Results of this study demonstrate that the likelihood of infection increases when the change from external fixation to definitive internal fixation is delayed. Therefore, it is important to convert to definitive internal fixation immediately when the local and general conditions are favorable for doing so.https://doi.org/10.1186/s13018-024-05350-2InfectionOpen fractureTemporary external fixationTibial shaft fractureGustilo classificationTrauma |
| spellingShingle | Wazzan S. Aljuhani Yasir A. Alshabi Abdullah M. Alanazi Meshal A. Alothri Saleh A. Almutairi Ziad A. Aljaafri Abdullah M. Alzahrani Risk of infection and conversion time from external to definitive fixation in open tibial fracture Journal of Orthopaedic Surgery and Research Infection Open fracture Temporary external fixation Tibial shaft fracture Gustilo classification Trauma |
| title | Risk of infection and conversion time from external to definitive fixation in open tibial fracture |
| title_full | Risk of infection and conversion time from external to definitive fixation in open tibial fracture |
| title_fullStr | Risk of infection and conversion time from external to definitive fixation in open tibial fracture |
| title_full_unstemmed | Risk of infection and conversion time from external to definitive fixation in open tibial fracture |
| title_short | Risk of infection and conversion time from external to definitive fixation in open tibial fracture |
| title_sort | risk of infection and conversion time from external to definitive fixation in open tibial fracture |
| topic | Infection Open fracture Temporary external fixation Tibial shaft fracture Gustilo classification Trauma |
| url | https://doi.org/10.1186/s13018-024-05350-2 |
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