Antibiotic prophylaxis in surgery for closed fracture of the hand - 19/09/24
, Ilkka Helenius b, c, Markus Pääkkönen aAbstract |
Purpose |
Preoperative antibiotic prophylaxis is associated to internal fixation for closed phalangeal and metacarpal fracture, but its effectiveness is not known.
Methods |
In a consecutive series of 119 adult patients undergoing Kirschner-wire fixation for phalangeal or metacarpal fracture, 56.3% (n = 67) received antibiotic prophylaxis and 43.7% (n = 52) did not.
Results |
The rate of deep surgical site infection was 1.5% (n = 1) in the group with antibiotic prophylaxis and 1.9% (n = 1) in the group without. Minor skin irritation or infection of the pin tract occurred in 13.4% of cases (n = 9) in the group with antibiotic prophylaxis and 9.6% (n = 5) in the group without.
Conclusion |
Our findings suggest that use of antibiotic prophylaxis could be reduced in the treatment of closed fractures of the hand treated with removable pins.
Type of study/level of evidence |
Therapeutic IV (retrospective review).
Le texte complet de cet article est disponible en PDF.Keywords : Fracture, Infection, Kirschner wire, Osteomyelitis
Plan
Vol 43 - N° 4
Article 101753- septembre 2024 Retour au numéro
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