Hu H, Zhang J, Xie XG, Dai YK, Huang X. Identification of risk factors for surgical site infection after type II and type III tibial pilon fracture surgery. World J Clin Cases 2022; 10(19): 6399-6405 [PMID: 35979296 DOI: 10.12998/wjcc.v10.i19.6399]
Corresponding Author of This Article
Xu Huang, MD, Attending Doctor, Department of Orthopaedics, Huai’an Second People’s Hospital, No. 62 Huaihai South Road, Huai’an 223300, Jiangsu Province, China. 2212439240@qq.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Retrospective Cohort Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Hao Hu, Jian Zhang, Xue-Guan Xie, Yan-Kun Dai, Xu Huang, Department of Orthopaedics, Huai’an Second People’s Hospital, Huai’an 223300, Jiangsu Province, China
Author contributions: Hu H and Zhang J designed the study; Xie XG drafted the work; Dai YK and Huang X collected the data; Hu H and Zhang J analyzed and interpreted data; and Xie XG and Huang X wrote the manuscript; and all authors read and confirmed the revision of the manuscript.
Institutional review board statement: This study was approved by Huai’an Second People’s Hospital ethics committee.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xu Huang, MD, Attending Doctor, Department of Orthopaedics, Huai’an Second People’s Hospital, No. 62 Huaihai South Road, Huai’an 223300, Jiangsu Province, China. 2212439240@qq.com
Received: February 22, 2022 Peer-review started: February 22, 2022 First decision: March 23, 2022 Revised: April 5, 2022 Accepted: May 16, 2022 Article in press: May 16, 2022 Published online: July 6, 2022
ARTICLE HIGHLIGHTS
Research background
High-energy tibial pilon fractures are associated with a high risk of infection after open reduction and internal fixation. Infections can negatively impact patient outcomes.
Research motivation
In this study, the authors seek ways to prevent infection after a pilon fracture.
Research objectives
This study aimed to compare risk factors for infection after open reduction and internal fixation of pilon fractures.
Research methods
Among the 137 included patients, demographic, clinical, and surgical factors were compared between those who developed infection and those who did not.
Research results
The pathogen distribution in the 67 patients with surgical site infection was as follows: Gram-positive, 58.2%; Gram-negative, 38.8%; and fungal, 2.9%. The following factors were associated with postoperative infection: Ruedi-Allgower pilon type III fracture; type III surgical incision; wound contamination; diabetes as a comorbidity.
Research conclusions
Ruedi-Allgower type III fractures, type III surgical incisions, wound contamination, and infection prevention in diabetic patients reduce the risk of postoperative infection following surgical treatment of tibial pilon fractures.
Research perspectives
Ruedi-Allgower type III fractures, type III surgical incisions, wound contamination, and infection prevention in diabetic patients are feasible approaches to reduce the risk of postoperative infection after surgical treatment of tibial pilon fractures, and have broader clinical value.
