Salvage of rib stabilization hardware with antibiotic beads - 17/10/19
, Alex Kurjatko , Matthew C. Hernandez , Stephanie F. Heller , Brian D. Kim , Henry J. Schiller Abstract |
Background |
Surgical stabilization of rib fractures (SSRF) can be used to improve pulmonary mechanics; however, hardware infection is a morbid complication. Antibiotic impregnated beads have been used to suppress infection in orthopedic practices. We aimed to determine the efficacy of antibiotic beads for infected and at-risk SSRF hardware.
Methods |
This is a single institution retrospective review of adults (18 years or older) that received SSRF between 2009 and 2017. Infected and at-risk hardware were managed with antibiotic beads. The primary outcome was bony union of rib fractures.
Results |
There were 285 SSRF patients. Infection rate was 3.5%. Antibiotic beads were placed in 17 patients – 9 for infected hardware and 8 for prophylaxis. Increased body mass index (p = 0.04) and hemorrhagic shock at admission (p = 0.03) were risk factors for infection. There was 100% bony union post-operatively.
Conclusion |
SSRF hardware infection is morbid. Antibiotic beads can salvage SSRF hardware until bony union.
Le texte complet de cet article est disponible en PDF.Highlights |
• | SSRF hardware infection increases hospital and ICU duration of stay. |
• | Antibiotic beads suppress SSRF hardware infection to allow bony union. |
• | Hemorrhagic shock on admission and increased BMI are infection risk factors. |
Keywords : Rib fracture, Hardware infection, Antibiotic beads
Plan
| ☆ | Presentation: This was presented as a podium presentation at Western Trauma Association 48th Annual Meeting in Whistler, British Columbia on February 27, 2018. |
Vol 218 - N° 5
P. 869-875 - novembre 2019 Retour au numéro
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