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

Abstract

a b s t r a c tBackground/Aims: The purpose of this study is to evaluate risk factors of deep infection

A review of the manufacturing process and infection rate of 3D-printed models and guides sterilized by hydrogen peroxide plasma and utilized intra-operatively

“…With regards to the benefits of 3D modelling on surgical execution, a meta-analysis compiling studies for pilon fracture management reported that operation time, blood loss, post-operative pain scores, achievement of anatomical fracture reduction, and post-operative function were all improved in comparison to conventional planning [6]. Rates of infection following 3D modelling amongst this cohort were not increased, and have been reported elsewhere to be as high as 16.1% owing to the degree of associated soft tissue trauma, with an average presentation time of 88-days post-op [15]. Amongst out patients with pilon fractures, 1/9 (11.1%) developed infection.…”

Risk factors for infectious complications after open fractures; a systematic review and meta-analysis

“…Two studies described either hypertension [23] or systemic vascular disease [24]. The first found no significant difference, but Molina et al detected a higher incidence of infections in patients with systemic vascular disease (37.8 versus 18.1%, p=0.01).…”

“…Thirteen articles mentioned age as a risk factor, most reported mean age (N=10, 1,819 fractures), [8,[17][18][19][20][21][22][23][24][25] others median age (N=3, 1,477 fractures) [26][27][28]. Using those that presented age in means with standard deviations (SD) did not demonstrate significant differences between infected and non-infected patients.…”

“…One study compared Caucasian patients to non-Caucasian patients, and found no significant difference in infection rate, although 25.2 versus 10.5% may imply clinical relevance [23].…”

Pilon kırıklarının komplikasyonları

“…Derin enfeksiyon oranlarının %55'e kadar çıkabileceğini bildiren çalışmalar vardır. [6,7] Şekil 1. Tibia pilon kırığı cerrahi tedavisi sonrası yumuşak doku hematomu ve erken enfeksiyon bulguları.…”