Risk factors for infection of tibial plateau fractures

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• dc.contributor.author Coelho, Alex
• dc.contributor.author Parés Alfonso, Ivet
• dc.contributor.author Companys Berraondo, Raquel
• dc.contributor.author Sánchez Soler, Juan Francisco
• dc.contributor.author Torres Claramunt, Raúl
• dc.contributor.author Alier Fabrego, Albert
• dc.contributor.author Monllau García, Juan Carlos
• dc.date.accessioned 2024-05-31T06:14:44Z
• dc.date.available 2024-05-31T06:14:44Z
• dc.date.issued 2024
• dc.description Article disponible en castellà: http://hdl.handle.net/10230/60299
• dc.description.abstract Introduction: Tibial plateau fractures are injuries prone to postoperative infection, with its reported incidence being higher than that of other fractures, between 5% and 12%. The primary objectives of this study were to quantify the postoperative infection rate of internal fixation of tibial plateau fractures (TPFs) and to identify the risk factors for this. Material and methods: Retrospective cohort study including patients who underwent TPF osteosynthesis between 2015 and 2020, in the same center. The study population was divided into two groups, according to the presence or absence of postoperative infection. Demographic variables related to the fracture, surgical parameters, as well as the need for reoperation were collected. Finally, in the case of debridement, the number of positive cultures and the pathogen responsible for the infection were collected, as well as the treatment applied. Results: One hundred and twenty-four patients were included, with a total of 14 infections (global infection rate of 11.3%). Risk factors for developing infection were open fractures (p=.002), Schatzker V and VI type fractures (p=.002) and the use of external fixation (p<.001). Regarding the surgical variables, only the longest ischemia time (p=.032) was identified as a risk factor. Staphylococcus aureus was the most frequently identified microorganism (43%), followed by Enterobacter cloacae (35.7%). Conclusion: The overall infection rate after osteosynthesis of tibial plateau fractures was 11.3%. Different factors are associated with a higher risk of infection, including diabetes mellitus, open fractures, the use of external fixation, a higher grade in the Schatzker classification or a longer intraoperative ischemia time.
• dc.format.mimetype application/pdf
• dc.identifier.citation Coelho A, Parés-Alfonso I, Companys R, Sánchez-Soler JF, Torres-Claramunt R, Alier A, et al. Risk factors for infection of tibial plateau fractures. Rev Esp Cir Ortop Traumatol. 2024 Jan-Feb;68(1):T44-T9. DOI: 10.1016/j.recot.2023.11.015
• dc.identifier.doi http://dx.doi.org/10.1016/j.recot.2023.11.015
• dc.identifier.issn 1888-4415
• dc.identifier.uri http://hdl.handle.net/10230/60298
• dc.language.iso eng
• dc.publisher Elsevier
• dc.relation.ispartof Rev Esp Cir Ortop Traumatol. 2024 Jan-Feb;68(1):T44-T9
• dc.rights © 2023 SECOT. Published by Elsevier España, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
• dc.subject.keyword Risk factors
• dc.subject.keyword Infection
• dc.subject.keyword Fracture
• dc.subject.keyword Tibial plateau
• dc.subject.keyword Osteosynthesis
• dc.title Risk factors for infection of tibial plateau fractures
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion