Acute prophylactic antibiotic nailing of open femoral shaft fractures for prevention of fracture-related infection.
Open, grossly contaminated femoral shaft fractures pose a significant threat for fracture-related infection. Traditional treatment for these injuries consists of irrigation and debridement with temporizing external fixation placement and staged conversion to definitive fixation. We describe a protoc...
| Publicado en: | Baylor University Medical Center Proceedings Vol. 37; no. 4; pp. 705 - 712 |
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| Autores principales: | , , |
| Formato: | algorithm diagnostic images pictorial research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jul2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=177964163&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 177964163 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08998280 1XEP jtl: Baylor University Medical Center Proceedings issn: 08998280 maglogo: N pubinfo: dt: Jul2024 vid: 37 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 177964163 177621120 177964163 177964163 10.1080/08998280.2024.2350208 177964163 ppf: 705 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Acute prophylactic antibiotic nailing of open femoral shaft fractures for prevention of fracture-related infection. aug: au: Nezwek, Teron A. Gordon, Dan Cates, Casey affil: Department of Orthopaedic Trauma, Baylor University Medical Center, Dallas, Texas, USA sug: subj: Antibiotic Prophylaxis Femoral Fractures Surgery Femoral Fractures Complications Infection Prevention and Control Fracture Fixation Surgical Wound Infection Prevention and Control Protocols Bone Cements Infection Control Human Bacterial Contamination Acute Care Case Studies Trauma Centers Adult Middle Age Male Descriptive Statistics Adult: 19-44 years Middle Aged: 45-64 years Male ab: Open, grossly contaminated femoral shaft fractures pose a significant threat for fracture-related infection. Traditional treatment for these injuries consists of irrigation and debridement with temporizing external fixation placement and staged conversion to definitive fixation. We describe a protocol for acute antibiotic cement nailing of open femoral shaft fractures as an infection prophylaxis modality in fractures with a high risk of infection and present three cases. Three patients presented with open femoral shaft fractures with large soft tissue defects and gross contamination and were successfully treated with acute retrograde antibiotic nailing and external fixation with later conversion to definitive metallic nailing. They did not develop infection and had acceptable postoperative function and fracture alignment. This technique of early infection prophylaxis after open femoral shaft fracture is reproducible, pragmatic, and cost-effective. pubtype: Academic Journal doctype: algorithm diagnostic images pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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