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Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_16 | Pages 27 - 27
1 Apr 2013
Hak D Linn S Mauffrey C Hammerberg M Stahel P
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Objective

To identify risk factors for surgical site infections and to quantify the contribution of independent risk factors to the probability of developing infection after definitive fixation of tibial plateau fractures.

Methods

A retrospective analysis was performed at a Level I trauma center between 2004 and 2010. A total of 251 consecutive patients (256 cases) were divided into two groups, those with and those without a surgical site infection. Preoperative and perioperative variables were compared between these groups and risk factors were determined by univariate analyses and multivariate logistic regression.


Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_16 | Pages 7 - 7
1 Apr 2013
Hak D Lin S Hammerberg M Stahel P
Full Access

Objective

The development of surgical site infection in the early weeks following open reduction and internal fixation (ORIF) is a challenging problem. There are no evidence-based guidelines to direct the number of surgical debridements prior to definitive wound closure. The purpose of this study was to assess the success of infection resolution, and to identify risk factors for failure, in post-operative infections treated with a single debridement and primary wound closure.

Methods

We retrospectively reviewed 61 postoperative infections (60 patients) that developed following fracture ORIF that were treated with a single debridement and primary closure. Data was collected from a review of the patients’ medical record. Variables were compared between the two groups using univariate and multivariate logistic regression analysis.