Open Ankle Fractures: What Predicts Infection? A Multicenter Study.
Journal
Journal of orthopaedic trauma
ISSN: 1531-2291
Titre abrégé: J Orthop Trauma
Pays: United States
ID NLM: 8807705
Informations de publication
Date de publication:
01 Jan 2022
01 Jan 2022
Historique:
accepted:
11
10
2021
pubmed:
30
10
2021
medline:
28
1
2022
entrez:
29
10
2021
Statut:
ppublish
Résumé
To identify the patient, injury, and treatment factors associated with an acute infection during the treatment of open ankle fractures in a large multicenter retrospective review. To evaluate the effect of infectious complications on the rates of nonunion, malunion, and loss of reduction. Multicenter retrospective review. Sixteen trauma centers. One thousand and 3 consecutive skeletally mature patients (514 men and 489 women) with open ankle fractures. Fracture-related infection (FRI) in open ankle fractures. The charts of 1003 consecutive patients were reviewed, and 712 patients (357 women and 355 men) had at least 12 weeks of clinical follow-up. Their average age was 50 years (range 16-96), and average BMI was 31; they sustained OTA/AO types 44A (12%), 44B (58%), and 44C (30%) open ankle fractures. The rate FRI rate was 15%. A multivariable regression analysis identified male sex, diabetes, smoking, immunosuppressant use, time to wound closure, and wound location as independent risk factors for infection. There were 77 cases of malunion, nonunion, loss of reduction, and/or implant failure; FRI was associated with higher rates of these complications (P = 0.01). Several patient, injury, and surgical factors were associated with FRI in the treatment of open ankle fractures. Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.
Identifiants
pubmed: 34711768
doi: 10.1097/BOT.0000000000002293
pii: 00005131-202201000-00007
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
43-48Informations de copyright
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors report no conflict of interest.
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