Effect of fracturoscopy on the incidence of surgical site infections post tibial plateau fracture surgery
- PDF / 617,595 Bytes
- 7 Pages / 595.276 x 790.866 pts Page_size
- 35 Downloads / 184 Views
ORIGINAL ARTICLE
Effect of fracturoscopy on the incidence of surgical site infections post tibial plateau fracture surgery Henkelmann Ralf1 · Krause Matthias2 · Alm Lena3 · Glaab Richard9 · Mende Meinhard4 · Ull Christopher6 · Braun Philipp‑Johannes7 · Katthagen Christoph8 · Tobias J. Gensior5,10 · Frosch Karl‑Heinz2 · Hepp Pierre1 Received: 19 May 2020 / Accepted: 4 September 2020 © The Author(s) 2020
Abstract Purpose Surgical treatment of tibial plateau fracture (TPF) is common. Surgical site infections (SSI) are among the most serious complications of TPF. This multicentre study aimed to evaluate the effect of fracturoscopy on the incidence of surgi‑ cal site infections in patients with TPF. Methods We performed a retrospective multicentre study. All patients with an AO/OTA 41 B and C TPF from January 2005 to December 2014 were included. Patients were divided into three groups: those who underwent arthroscopic reduc‑ tion and internal fixation (ARIF), and those who underwent open reduction and internal fixation (ORIF) with fracturoscopy, and those treated with ORIF without fracturoscopy. The groups were compared to assess the effect of fracturoscopy. We characterised our cohort and the subgroups using descriptive statistics. Furthermore, we fitted a logistic regression model which was reduced and simplified by a selection procedure (both directions) using the Akaike information criterion (AIC). From the final model, odds ratios and inclusive 95% confidence intervals were calculated. Results Overall, 52 patients who underwent fracturoscopy, 48 patients who underwent ARIF, and 2000 patients treated with ORIF were identified. The rate of SSI was 0% (0/48) in the ARIF group and 1.9% (1/52) in the fracturoscopy group compared to 4.7% (93/2000) in the ORIF group (OR = 0.40, p = 0.37). Regression analyses indicated a potential positive effect of fracturoscopy (OR, 0.65; 95% CI, 0.07–5.68; p = 0.69). Conclusion Our study shows that fracturoscopy is associated with reduced rates of SSI. Further studies with larger cohorts are needed to investigate this. Level of evidence Level III. Keywords Tibial plateau fracture · Surgical site infection · Fracturoscopy · ARIF · ORIF · Postoperative infection
* Henkelmann Ralf [email protected]‑leipzig.de 1
2
Department of Orthopedics, Trauma and Plastic Surgery, University of Leipzig, Liebigstraße 20, 0410 Leipzig, Germany Clinic of Trauma, Hand and Reconstructive Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
3
Division of Knee and Shoulder Surgery, Department of Trauma and Reconstructive Surgery, Sports Traumatology, Asklepios Klinik St. Georg, Hamburg, Germany
4
Centre for Clinical Trials, University of Leipzig, Leipzig, Germany
5
Clinic for Arthroscopic Surgery, Sports Traumatology and Sports Medicine, BG Clinic, Duisburg, Germany
6
Department of General and Trauma Surgery, BG University Hospital Bergmannsheil, Bochum, Germany
7
Department of Trauma and Orthopaedic Surgery, BG Hospital Unfallkrankenhaus
Data Loading...
