Influence of Internal Fixation on Wound Infections

Grewe, Scott R.; Stephens, Brian O.; Perlino, Carl A.; Riggins, Richard S.

doi:10.1097/00005373-198709000-00016

Cited by 9 publications

(1 citation statement)

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“…However, the location and configuration of certain fractures, such as those involvingthe distalradius,oftenprevents adequate stabilization using internal fixation. Furthermore,o pens urgicala pproaches mayi ncrease soft tissue,p eriosteal,and vascular damage at the fracture site,w hich can delayh ealing.B one plates andcortical screwssubstantiallyreducethe bacterialinoculation doserequired to establishosteomyelitis (9)(10)(11) and, therefore,can potentiate the development of infection, particularlyi nh orsesw ith open fractures (12).…”

Section: Introductionmentioning

confidence: 99%

Ex vivo comparison of a novel tapered-sleeve and traditional full-limb transfixation pin cast for distal radial fracture stabilization in the horse

Elce¹,

Southwood²,

Nutt³

et al. 2006

Vet Comp Orthop Traumatol

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Distal radial fractures in adult horses are examples of long-bone fractures that are not always amenable to internal fixation. These fractures are often open, contaminated, severely comminuted, and located adjacent to the antebrachiocarpal joint. There have been few studies to improve upon the methods of stabilization of this type of fracture. External coaptation incorporating transfixation pins is one method that has been used to stabilize distal radial fractures in horses (1-3). The purpose of this preliminary study was to compare the load to failure in simulated weight-bearing of a novel tapered-sleeve transfixation pin cast (TSTPC) (4) with the traditional transfixation pin cast (TPC) in an ex vivo distal radial fracture model. Ten adult equine cadaveric forelimbs were randomly placed into a TPC group (n = 5) or a TSTPC group (n = 5). An oblique distal radial osteotomy was created prior to application of fibreglass cast material. The limbs were loaded in a single cycle to failure in simulated weight-bearing using an axial load. The mean load to failure for the TSTPC group (35,814 N) was significantly greater than in the TPC group (22,344 N) (p = 0.003). Tapered sleeves in conjunction with TPC warrant further investigation because they may prolong the life of the fixation, prevent or diminish fractures through the pin sites, and increase the load capacity of external coaptation used to stabilize equine fractures.

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Section: Introductionmentioning

confidence: 99%

Ex vivo comparison of a novel tapered-sleeve and traditional full-limb transfixation pin cast for distal radial fracture stabilization in the horse

Elce¹,

Southwood²,

Nutt³

et al. 2006

Vet Comp Orthop Traumatol

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Pathophysiologie der posttraumatischen Osteitis

et al. 2004

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Over the last few decades, significant reduction of post-traumatic infections could be attained by establishing novel surgical techniques and tactics, by adapting surgical decisions to the risk of infection, by employing chemotherapeutic agents, and by developing new implants. Here a novel understanding of the pathophysiologic mechanisms of post-traumatic and postoperative osteomyelitis were directive. Nevertheless, post-traumatic infections later cause significant physical and economic sequelae. This article sums up the fundamental pathophysiological mechanisms of post-traumatic infection. New ideas about post-traumatic prevention and therapy of osteomyelitis are discussed.

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One-stage revision surgery to treat hip infected nonunion after stabilization with a sliding compression screw

Chen

2003

Archives of Orthopaedic and Trauma Surgery

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Influence of Internal Fixation on Wound Infections

Cited by 9 publications

References 0 publications

Ex vivo comparison of a novel tapered-sleeve and traditional full-limb transfixation pin cast for distal radial fracture stabilization in the horse

Ex vivo comparison of a novel tapered-sleeve and traditional full-limb transfixation pin cast for distal radial fracture stabilization in the horse

Pathophysiologie der posttraumatischen Osteitis

One-stage revision surgery to treat hip infected nonunion after stabilization with a sliding compression screw

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