Outcomes of infected grade IIIB open tibial fractures

Outcomes of infected grade IIIB open tibial fractures

Introduction Infection following grade IIIB open tibial fracture is common. The primary aim of managing this condition is to achieve control of infection before the bone reconstruction procedure is performed. The outcomes for such patients have not been evaluated in the literature. This study was...

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Main Authors: Mohd Yusof, Nazri, Halim, Ahmad Sukari
Format: Article
Language:English
Published: Singapore Medical Association 2012
Subjects:
RD701 Orthopedics
Online Access:http://irep.iium.edu.my/29867/
http://irep.iium.edu.my/29867/
http://irep.iium.edu.my/29867/2/infected_open_gIIIb_fracture.pdf
id iium-29867
recordtype eprints
spelling iium-298672015-01-27T01:10:50Z http://irep.iium.edu.my/29867/ Outcomes of infected grade IIIB open tibial fractures Mohd Yusof, Nazri Halim, Ahmad Sukari RD701 Orthopedics Introduction Infection following grade IIIB open tibial fracture is common. The primary aim of managing this condition is to achieve control of infection before the bone reconstruction procedure is performed. The outcomes for such patients have not been evaluated in the literature. This study was conducted to examine the outcome of a multistage procedure for the treatment of infected grade IIIB open tibial fractures. Methods Between 2004 and 2008, we treated 11 patients with infected grade IIIB open tibial fractures in our unit. The management of infected grade IIIB open tibial fracture comprised three stages, which included serial debridement, wound closure by local flap surgery and bone reconstruction. The margin of resection and the type of bone reconstruction depended on the anatomical location of the disease, the extent of osteomyelitis and patient preference regarding treatment options. Bone reconstruction procedures included bone grafting, plating, interlocking nail, hybrid and monolateral external fixator, and Ilizarov bone transport. Resu lts Gram-negative organisms were isolated from all patients. Pseudomonas aeruginosa (P. aeruginosa) (44%) was the most common organism cultured. Infection was resolved in all patients. Nine fractures achieved union, with a mean union time of 15 months. Two patients with P. aeruginosa infection developed non-union of the fracture and refused additional surgery after three years of treatment. Conclusion The multi-stage management approach is well-accepted and effective in controlling infection in infected grade IIIB open tibial fractures. Singapore Medical Association 2012-09 Article PeerReviewed application/pdf en http://irep.iium.edu.my/29867/2/infected_open_gIIIb_fracture.pdf Mohd Yusof, Nazri and Halim, Ahmad Sukari (2012) Outcomes of infected grade IIIB open tibial fractures. Singapore Medical Journal, 53 (9). pp. 591-594. ISSN 0037-5675 http://www.sma.org.sg/UploadedImg/files/SMJ/5309/5309a5.pdf
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic RD701 Orthopedics
spellingShingle RD701 Orthopedics
Mohd Yusof, Nazri
Halim, Ahmad Sukari
Outcomes of infected grade IIIB open tibial fractures
description Introduction Infection following grade IIIB open tibial fracture is common. The primary aim of managing this condition is to achieve control of infection before the bone reconstruction procedure is performed. The outcomes for such patients have not been evaluated in the literature. This study was conducted to examine the outcome of a multistage procedure for the treatment of infected grade IIIB open tibial fractures. Methods Between 2004 and 2008, we treated 11 patients with infected grade IIIB open tibial fractures in our unit. The management of infected grade IIIB open tibial fracture comprised three stages, which included serial debridement, wound closure by local flap surgery and bone reconstruction. The margin of resection and the type of bone reconstruction depended on the anatomical location of the disease, the extent of osteomyelitis and patient preference regarding treatment options. Bone reconstruction procedures included bone grafting, plating, interlocking nail, hybrid and monolateral external fixator, and Ilizarov bone transport. Resu lts Gram-negative organisms were isolated from all patients. Pseudomonas aeruginosa (P. aeruginosa) (44%) was the most common organism cultured. Infection was resolved in all patients. Nine fractures achieved union, with a mean union time of 15 months. Two patients with P. aeruginosa infection developed non-union of the fracture and refused additional surgery after three years of treatment. Conclusion The multi-stage management approach is well-accepted and effective in controlling infection in infected grade IIIB open tibial fractures.
format Article
author Mohd Yusof, Nazri
Halim, Ahmad Sukari
author_facet Mohd Yusof, Nazri
Halim, Ahmad Sukari
author_sort Mohd Yusof, Nazri
title Outcomes of infected grade IIIB open tibial fractures
title_short Outcomes of infected grade IIIB open tibial fractures
title_full Outcomes of infected grade IIIB open tibial fractures
title_fullStr Outcomes of infected grade IIIB open tibial fractures
title_full_unstemmed Outcomes of infected grade IIIB open tibial fractures
title_sort outcomes of infected grade iiib open tibial fractures
publisher Singapore Medical Association
publishDate 2012
url http://irep.iium.edu.my/29867/
http://irep.iium.edu.my/29867/
http://irep.iium.edu.my/29867/2/infected_open_gIIIb_fracture.pdf
first_indexed 2023-09-18T20:43:51Z
last_indexed 2023-09-18T20:43:51Z
_version_ 1777409543617118208

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