Complications and timing of soft tissue coverage after complete articular, open tibial plateau fractures

Grisdela, Phillip; Olson, Jeffrey J.; Guild, Theodore; Dekhne, Mihir S; Hresko, Andrew M.; Singh, Urvinder; Weaver, Michael J.; Keudell, Arvind von; Stenquist, Derek S

doi:10.1016/j.injury.2022.12.012

Cited by 2 publications

(4 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Open fractures pose an even greater risk due to immediate contamination with environmental microbes at the time of injury. Consequently, managing these cases requires fine‐tuned antibiotic protocols, including the timely administration of targeted antibiotics, to mitigate infection risks 18 . Another pivotal concern is the duration of surgical and hospitalization time.…”

Section: Discussionmentioning

confidence: 99%

“… 17 Open fractures bring an inherent risk by introducing environmental microbes at the point of injury, mandating meticulous antibiotic management. 18 Furthermore, prolonged surgical and hospitalization periods heighten the risk of bacterial colonization, especially given the patient's immunosuppressed state during anaesthesia. Finally, the preoperative prognostic indicators like albumin levels and the ASA score serve as important markers.…”

Section: Discussionmentioning

confidence: 99%

“…Consequently, managing these cases requires fine‐tuned antibiotic protocols, including the timely administration of targeted antibiotics, to mitigate infection risks. 18 Another pivotal concern is the duration of surgical and hospitalization time. Extended surgical time often correlates with the complexity of the surgical case.…”

Section: Discussionmentioning

confidence: 99%

“…Elevated BMI often coexists with metabolic syndromes such as diabetes, where hyperglycemia inhibits neutrophil function and compromises the body's ability to counter infections 17 . Open fractures bring an inherent risk by introducing environmental microbes at the point of injury, mandating meticulous antibiotic management 18 . Furthermore, prolonged surgical and hospitalization periods heighten the risk of bacterial colonization, especially given the patient's immunosuppressed state during anaesthesia.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Risk factors for surgical site infections following open reduction and internal fixation in patients with tibial plateau fractures

Sun,

Yang,

Zhang

et al. 2023

International Wound Journal

View full text Add to dashboard Cite

This retrospective cohort study aimed to identify the risk factors associated with postoperative wound infections in patients undergoing open reduction and internal fixation for tibial plateau fractures. The study was conducted between January 2019 and December 2022, with stringent inclusion and exclusion criteria. Data were collected from the Electronic Health Record system, including demographic information, lifestyle habits, comorbid conditions and surgical variables like preoperative American Society of Anesthesiologists (ASA) scores. The IBM Statistical Package for the Social Sciences, version 27.0, was utilized for rigorous statistical analyses. Univariate analysis identified several factors, such as body mass index (BMI), smoking status and diabetes mellitus, as significant predictors of postoperative wound infection. Multivariate logistic regression revealed that BMI, type of fracture (open vs. closed), surgery duration exceeding 150 min, preoperative albumin levels below 35 g/L and preoperative ASA score of 3 or higher were significant independent risk factors (p < 0.05). Patients with open fractures, preoperative malnutrition, elevated preoperative ASA scores and a history of smoking are at a heightened risk of developing postoperative wound infections. Timely preoperative evaluation of these risk factors is crucial for minimizing the risk of surgical site infections and optimizing clinical management.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Risk factors for surgical site infections following open reduction and internal fixation in patients with tibial plateau fractures

Sun,

Yang,

Zhang

et al. 2023

International Wound Journal

View full text Add to dashboard Cite

show abstract

Comparison of the clinical results of different approaches in the treatment of Schatzker V and VI tibial plateau fractures

Wang,

He,

2024

Applied Mathematics and Nonlinear Sciences

View full text Add to dashboard Cite

In order to compare the clinical effects of different access surgical approaches in the treatment of Schatzker type V and VI tibial plateau fractures, a total of 68 patients with Schatzker type V and VI tibial plateau fractures involving the posterior-lateral aspect admitted to our hospital from January 2020 to January 2022 were grouped based on the different surgical access approaches, of which Patients treated with medial combined posterior-lateral approach were recorded as Group A (n=34), and patients treated with posterior medial inverted L incision combined with anterior-lateral approach were recorded as Group B (n=34). The surgical indexes (operation time, intraoperative blood loss) of the two groups were observed and compared, and the clinical efficacy of the patients was evaluated based on the New York Surgical Hospital (HSS) scores and imaging review, as well as the postoperative complications and the quality of life of the patients. Through the experiment, the operation time and intraoperative blood loss index of group A were better than that of group B (P < 0.05); the HSS scores of the two groups were significantly improved with time (P < 0.05), and at the same time, based on the follow-up observation, there was no significant difference between the HSS scores of the two groups of patients in the period of 3, 6, and 12 months of follow-up (P > 0.05); up to the time of the last follow-up visit, the patients of the two groups had received the imaging examination, and no The mean knee range of motion in group A was 126. 32°±5. 48° (0-7°; 114-139°), and the mean knee range of motion in group B was 127.56°±6.78° (0-10°; 113-140°), and there was no statistically significant difference in the knee range of motion between the two groups (t=0.05). Range of motion was not statistically different (t=0.829, P=0.409); the incidence of postoperative complications in Group A was 14.71% (5/34) was slightly higher than the incidence of postoperative complications in Group B was 11.76% (4/34), but this difference was not significant (x2=0.128, P=0.720); the quality of life of patients in the two groups was improved over time (P<0.05) and based on the SF36 scale score at 6 and 12 months of follow-up there was no significant difference in the quality of life between the two groups (P > 0.05). The above results showed that the operation time and intraoperative bleeding of the medial combined posterior-lateral approach were less than that of the posterior medial inverted L incision combined anterior-lateral approach. Still, there was no significant difference between the two in terms of clinical efficacy and safety. The choice of surgical approach should be determined by combining the characteristics of fracture morphology, the objective conditions of instrumentation, and the patient’s individuality.

show abstract

Complications and timing of soft tissue coverage after complete articular, open tibial plateau fractures

Cited by 2 publications

References 23 publications

Risk factors for surgical site infections following open reduction and internal fixation in patients with tibial plateau fractures

Risk factors for surgical site infections following open reduction and internal fixation in patients with tibial plateau fractures

Comparison of the clinical results of different approaches in the treatment of Schatzker V and VI tibial plateau fractures

Contact Info

Product

Resources

About