Outcome of infection following internal fixation of closed fractures

A retrospective study was done in 30 patients with infected closed fractures treated initially by open reduction and internal fixation. Nineteen fractures involved the femur, 8 the tibia, 2 the radius and 1 the ulna. Twenty-five were diaphyseal and 5 metaphyseal. Twenty-two fractures had initially b...

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Bibliographic Details
Published inMedical journal of Malaysia Vol. 59; no. 5; pp. 665 - 669
Main Authors Nazri, M Y, Halin, Y A
Format Journal Article
LanguageEnglish
Published Malaysia 01.12.2004
Subjects
Adolescent
Adult
Female
Fracture Fixation, Internal - adverse effects
Fracture Healing
Fractures, Closed - surgery
Humans
Male
Middle Aged
Osteomyelitis - etiology
Osteomyelitis - therapy
Retrospective Studies
Treatment Outcome
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Summary:A retrospective study was done in 30 patients with infected closed fractures treated initially by open reduction and internal fixation. Nineteen fractures involved the femur, 8 the tibia, 2 the radius and 1 the ulna. Twenty-five were diaphyseal and 5 metaphyseal. Twenty-two fractures had initially been treated with plating and 8 with intramedullary nailing. Thirteen patients presented in the acute phase and 17 in the subacute phase of infection. Twenty-two patients presented with low grade infection and 8 with florid infection. The commonest organism isolated was Staphylococcus aureus (80%), of which fifty four percent was resistant to Methicillin (MRSA). This study showed that 77% of infected fractures with a stable implant united even in the presence of infection.
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ISSN:0300-5283