THE OUTCOME OF RETAINING A STABLE IMPLANT IN UNUNITED INFECTED FRACTURE FOLLOWING OPEN REDUCTION AND INTERNAL FIXATION OF CLOSED FRACTURES IN LONG BONES
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Date
2001
Authors
NAZRI, MOHD YUSOF
Journal Title
Journal ISSN
Volume Title
Publisher
Pusat Pengajian Sains Perubatan Universiti Sains Malaysia
Abstract
This is a retrospective study of 30 patients with ununited infected fractures but
with stable implant. The study was done between January 1995 to December
2000 in University Science Malaysia Kubang Kerian.
An infected ununited fracture is an orthopedic dilemma in deciding whether to
remove the implant or retain it until union has been achieved. The aim of this
study is to determine the outcome of patients where the stable implants were
retained despite the presence of infection. This study is also aimed to identify
the risk factors for failure of treatment and identify the microbiology pattern.
The result of this study showed a success rate of 77%
• The commonest
organism was Staphylococcus aureus which had been identified in 800/0 of
patients. This stUdy showed that site and severity of fracture, type of implant,
onset and severity of infection , type of organism and associated medical
problems and injuries does not significantly influence the outcome of patient
with an infected ununited fractures of long bone with retained internal fixation.
I concluded that retaining an infected but stable implant in ununited fracture
until the fractur~ has healed can be an initial treatment for all patients with
infected fractures following open reduction and internal fixation of closed
fractures in long bones.
Description
Keywords
Orthopaedic