Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, Omaha, NE.
The University of Mississippi Medical Center, Jackson, MS.
J Orthop Trauma. 2018 Mar;32(3):e102-e105. doi: 10.1097/BOT.0000000000001050.
To evaluate the infection rate of our protocol of prepping the external fixator in situ during definitive second-stage pilon fracture open reduction internal fixation.
Retrospective clinical investigation.
Academic Level 1 Trauma Center.
PATIENTS/PARTICIPANTS: Out of 229 patients with distal tibia fractures presenting to our institution from 1999 to 2014, 100 were treated in a 2-stage fashion utilizing this protocol.
Prepping the external fixator into the surgical field during the second-stage/definitive open reduction internal fixation procedure.
The rates of deep and superficial infections after definitive fixation.
The deep infection rate was 13%, and the superficial infection rate was 11%.
Infection rates using this protocol are comparable to previously reported infection rates for two-stage surgical treatment of pilon fractures. This protocol provides the treating surgeon information about an alternative method to streamline definitive fixation.
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
评估我们在确定性第二阶段 Pilon 骨折切开复位内固定术中原位准备外固定架的方案的感染率。
回顾性临床研究。
学术一级创伤中心。
患者/参与者：1999 年至 2014 年期间，有 229 例胫骨远端骨折患者到我院就诊，其中 100 例采用该方案分期治疗。
在第二期/确定性切开复位内固定手术过程中，将外固定架准备好放入手术区域。
确定性固定后的深部和浅部感染率。
深部感染率为 13%，浅部感染率为 11%。
使用该方案的感染率与 Pilon 骨折分期手术治疗的先前报道的感染率相当。该方案为治疗医生提供了一种替代方法，以简化确定性固定。
治疗 IV 级。有关证据水平的完整说明，请参阅作者说明。
