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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXXVII | Pages 325 - 325
1 Sep 2012
Borens O Buchegger T Steinrücken J Trampuz A
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Objectives

The risk of infection after type III° open fractures is high (10–50%). Preemptive antibiotic therapy may prevent posttraumatic infection and improve the outcome. Recommendations about the type and duration of antibiotic vary among the institutions and it remains unclear whether gram-negative bacilli or anaerobs need to be covered.

In Europe, the most commonly recommended antibiotic is amoxicillin/clavulanic acid.

We retrospectively analyzed microbiology, characteristics and outcome of patients with open type III° fractures treated at our institution.

Methods

Between 01/2005 and 12/2009 we retrospectively included all type III grade open fractures of the leg at our institution classified after Gustilo (JBJS Am 1976) into type IIIA (adequate soft-tissue coverage of bone with extensive soft-tissue laceration or flaps), IIIB (extensive soft-tissue loss with periosteal stripping and bone exposure), and IIIC (requiring arterial injury repair). Demographic characteristics, clinical presentation, microbiology, surgical and antibiotic treatment and patient outcome were recorded using a standardized case-report form.