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 initiall...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Malaysian Medical Association
2004
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/42096/1/Infected_Closed_Fractures.pdf http://irep.iium.edu.my/42096/ http://www.e-mjm.org/past_issues.html |
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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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