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Incidence and risk factors for surgical site infection following volar locking plating (VLP) of unstable distal radius fracture (DRF)
PURPOSE: Volar locking plating (VLP) is the mainstay of treatment for distal radius fracture (DRF) but may be compromised by postoperative surgical site infection (SSI). This study aimed to identify the incidence and the risk factors for SSI following VLP of DRF. METHODS: This retrospective study id...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9762064/ https://www.ncbi.nlm.nih.gov/pubmed/36529774 http://dx.doi.org/10.1186/s13018-022-03440-7 |
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author | Meng, Hongyu Xu, Bin Xu, Yi Niu, Haiyun Liu, Ning |
author_facet | Meng, Hongyu Xu, Bin Xu, Yi Niu, Haiyun Liu, Ning |
author_sort | Meng, Hongyu |
collection | PubMed |
description | PURPOSE: Volar locking plating (VLP) is the mainstay of treatment for distal radius fracture (DRF) but may be compromised by postoperative surgical site infection (SSI). This study aimed to identify the incidence and the risk factors for SSI following VLP of DRF. METHODS: This retrospective study identified consecutive patients who underwent VLP for closed unstable DRFs in our institution between January 2015 and June 2021. Postoperative SSI was identified by inquiring the medical records, the follow-up records or the readmission medical records for treatment of SSI. The potential factors for SSI were extracted from the medical records. Univariate and multivariate logistic regression analyses were performed to identify the independent factors. RESULTS: There were 930 patients included, and 34 had an SSI, representing an incidence of 3.7% (95% CI 2.4–4.9%). Patients with an SSI had threefold extended hospitalization stay (44.1 ± 38.2 versus 14.4 ± 12.5 days) as did those without. In univariate analysis, 18 variables were tested to be statistically different between SSI and non-SSI group. In multivariate analysis, 6 factors were identified as independently associated with SSI, including sex (male vs. female, OR 3.5, p = 0.014), ASA (III and IV vs. I, OR 3.2, p = 0.031), smoking (yes vs. no, OR 2.4, p = 0.015), bone grafting (OR 4.0, p = 0.007), surgeon volume (low vs. high, OR 2.7, p 0.011) and operation at night-time (vs. day-time, OR 7.8, p < 0.001). CONCLUSION: The postoperative SSI of VLP of DRF was not uncommon, and the factors identified in this study, especially those modifiable, would help identify individual SSI risk, target clinical surveillance and inform patient counseling. |
format | Online Article Text |
id | pubmed-9762064 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-97620642022-12-20 Incidence and risk factors for surgical site infection following volar locking plating (VLP) of unstable distal radius fracture (DRF) Meng, Hongyu Xu, Bin Xu, Yi Niu, Haiyun Liu, Ning J Orthop Surg Res Correspondence PURPOSE: Volar locking plating (VLP) is the mainstay of treatment for distal radius fracture (DRF) but may be compromised by postoperative surgical site infection (SSI). This study aimed to identify the incidence and the risk factors for SSI following VLP of DRF. METHODS: This retrospective study identified consecutive patients who underwent VLP for closed unstable DRFs in our institution between January 2015 and June 2021. Postoperative SSI was identified by inquiring the medical records, the follow-up records or the readmission medical records for treatment of SSI. The potential factors for SSI were extracted from the medical records. Univariate and multivariate logistic regression analyses were performed to identify the independent factors. RESULTS: There were 930 patients included, and 34 had an SSI, representing an incidence of 3.7% (95% CI 2.4–4.9%). Patients with an SSI had threefold extended hospitalization stay (44.1 ± 38.2 versus 14.4 ± 12.5 days) as did those without. In univariate analysis, 18 variables were tested to be statistically different between SSI and non-SSI group. In multivariate analysis, 6 factors were identified as independently associated with SSI, including sex (male vs. female, OR 3.5, p = 0.014), ASA (III and IV vs. I, OR 3.2, p = 0.031), smoking (yes vs. no, OR 2.4, p = 0.015), bone grafting (OR 4.0, p = 0.007), surgeon volume (low vs. high, OR 2.7, p 0.011) and operation at night-time (vs. day-time, OR 7.8, p < 0.001). CONCLUSION: The postoperative SSI of VLP of DRF was not uncommon, and the factors identified in this study, especially those modifiable, would help identify individual SSI risk, target clinical surveillance and inform patient counseling. BioMed Central 2022-12-19 /pmc/articles/PMC9762064/ /pubmed/36529774 http://dx.doi.org/10.1186/s13018-022-03440-7 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Correspondence Meng, Hongyu Xu, Bin Xu, Yi Niu, Haiyun Liu, Ning Incidence and risk factors for surgical site infection following volar locking plating (VLP) of unstable distal radius fracture (DRF) |
title | Incidence and risk factors for surgical site infection following volar locking plating (VLP) of unstable distal radius fracture (DRF) |
title_full | Incidence and risk factors for surgical site infection following volar locking plating (VLP) of unstable distal radius fracture (DRF) |
title_fullStr | Incidence and risk factors for surgical site infection following volar locking plating (VLP) of unstable distal radius fracture (DRF) |
title_full_unstemmed | Incidence and risk factors for surgical site infection following volar locking plating (VLP) of unstable distal radius fracture (DRF) |
title_short | Incidence and risk factors for surgical site infection following volar locking plating (VLP) of unstable distal radius fracture (DRF) |
title_sort | incidence and risk factors for surgical site infection following volar locking plating (vlp) of unstable distal radius fracture (drf) |
topic | Correspondence |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9762064/ https://www.ncbi.nlm.nih.gov/pubmed/36529774 http://dx.doi.org/10.1186/s13018-022-03440-7 |
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