Infection following fractures of the proximal tibia – a systematic review of incidence and outcome View Full Text


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Article Info

DATE

2017-11-21

AUTHORS

Ralf Henkelmann, Karl-Heinz Frosch, Richard Glaab, Helmut Lill, Christian Schoepp, Dominik Seybold, Christoph Josten, Pierre Hepp, Committee TRAUMA of the AGA-Society for Arthroscopy and Joint Surgery

ABSTRACT

BackgroundTo systematically review all available studies of operatively treated proximal tibia fractures and to report the incidence of superficial or deep infection and subsequent outcomes.MethodsA systematic review of the literature in Medline, Cochrane, Embase and GoogleScholar was conducted to identify studies with cohorts of patients with infection after surgical treatment of proximal tibia fractures. Studies were included according to predefined inclusion and exclusion criteria. The studies were analysed for methodological deficiencies and quality of outcome reporting based on the Level of Evidence (LOE) and Coleman Methodology Scoring (CMS.)ResultsIn total 32 studies were included. There was heterogeneity between the studies, in terms of subject of the studies, outcome criteria, fracture type and classification, surgical techniques and length of follow-up. Therefore, no meta-analysis could be performed. The average CMS was 54.2 (range 36–75). The included studies were 25 case series (LOE IV), 6 were prospective cohort studies (LOE III) and one was a prospective randomized trial (LOE I). 203 (12.3%, range: 2.6–45.0%) infections occurred in the overall population (n = 2063). Those were divided into 129 deep infections and 74 superficial infections. Revision due to infection was reported in 29 studies, microbiological results in 6, respectively. 72 (55,8%) of 129 cases reporting outcome after deep infection had an unsatisfactory outcome with substantial limitations of the affected joint and leg.ConclusionsPostoperative infections are a challenge, sometimes requiring several revisions and often with a worse outcome. Further studies with structured study protocols should be performed for a better understanding of risk factors to improve treatment outcomes. More... »

PAGES

481

References to SciGraph publications

  • 2015-04-01. Comparative study of single lateral locked plating versus double plating in type C bicondylar tibial plateau fractures in INDIAN JOURNAL OF ORTHOPAEDICS
  • 2013-06-11. Surgical site infection after open reduction and internal fixation of tibial plateau fractures in EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY & TRAUMATOLOGY
  • 2009-05-14. Tibial plateau fractures: functional outcome and incidence of osteoarthritis in 125 cases in INTERNATIONAL ORTHOPAEDICS
  • 1972-06. Palacosunterfütterung und alloplastischer Gelenkersatz bei Tibiakopfbrüchen in ARCHIV FÜR ORTHOPÄDISCHE UND UNFALL-CHIRURGIE
  • 2013-12-18. Multi-plate reconstruction for severe bicondylar tibial plateau fractures of young adults in INTERNATIONAL ORTHOPAEDICS
  • 2013-05-10. Medium-term results after complex intra-articular fractures of the tibial plateau in JOURNAL OF ORTHOPAEDIC SCIENCE
  • 1997-09. Infection of the proximal tibia after fractures — An avoidable complication in EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY & TRAUMATOLOGY
  • 2008. Utilization of the less-invasive stabilization system internal fixator for open fractures of the proximal tibia: A multi-center evaluation in INDIAN JOURNAL OF ORTHOPAEDICS
  • 2012-10-20. Tibial plateau fractures: compared outcomes between ARIF and ORIF in STRATEGIES IN TRAUMA AND LIMB RECONSTRUCTION
  • 2014-02-01. Outcome of Schatzker type V and VI tibial plateau fractures in INDIAN JOURNAL OF ORTHOPAEDICS
  • 2003-11-03. The Knee injury and Osteoarthritis Outcome Score (KOOS): from joint injury to osteoarthritis in HEALTH AND QUALITY OF LIFE OUTCOMES
  • 2010-12-16. Infirmity and Injury Complexity are Risk Factors for Surgical-site Infection after Operative Fracture Care in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
  • 2011-07-14. High energy tibial plateau fractures treated with hybrid external fixation in JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
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    http://scigraph.springernature.com/pub.10.1186/s12891-017-1847-z

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    30 schema:description BackgroundTo systematically review all available studies of operatively treated proximal tibia fractures and to report the incidence of superficial or deep infection and subsequent outcomes.MethodsA systematic review of the literature in Medline, Cochrane, Embase and GoogleScholar was conducted to identify studies with cohorts of patients with infection after surgical treatment of proximal tibia fractures. Studies were included according to predefined inclusion and exclusion criteria. The studies were analysed for methodological deficiencies and quality of outcome reporting based on the Level of Evidence (LOE) and Coleman Methodology Scoring (CMS.)ResultsIn total 32 studies were included. There was heterogeneity between the studies, in terms of subject of the studies, outcome criteria, fracture type and classification, surgical techniques and length of follow-up. Therefore, no meta-analysis could be performed. The average CMS was 54.2 (range 36–75). The included studies were 25 case series (LOE IV), 6 were prospective cohort studies (LOE III) and one was a prospective randomized trial (LOE I). 203 (12.3%, range: 2.6–45.0%) infections occurred in the overall population (n = 2063). Those were divided into 129 deep infections and 74 superficial infections. Revision due to infection was reported in 29 studies, microbiological results in 6, respectively. 72 (55,8%) of 129 cases reporting outcome after deep infection had an unsatisfactory outcome with substantial limitations of the affected joint and leg.ConclusionsPostoperative infections are a challenge, sometimes requiring several revisions and often with a worse outcome. Further studies with structured study protocols should be performed for a better understanding of risk factors to improve treatment outcomes.
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    37 CMS
    38 Cochrane
    39 EMBASE
    40 Further studies
    41 GoogleScholar
    42 MEDLINE
    43 MethodsA systematic review
    44 ResultsIn
    45 affected joint
    46 available studies
    47 better understanding
    48 case series
    49 cases
    50 challenges
    51 classification
    52 cohort
    53 cohort of patients
    54 cohort study
    55 criteria
    56 deep infection
    57 deficiency
    58 evidence
    59 exclusion criteria
    60 factors
    61 fracture type
    62 fractures
    63 heterogeneity
    64 incidence
    65 inclusion
    66 infection
    67 joints
    68 leg
    69 length
    70 level of evidence
    71 levels
    72 limitations
    73 literature
    74 methodological deficiencies
    75 microbiological results
    76 outcome criteria
    77 outcomes
    78 overall population
    79 patients
    80 population
    81 prospective cohort study
    82 protocol
    83 proximal tibia
    84 proximal tibia fractures
    85 quality
    86 quality of outcomes
    87 results
    88 review
    89 revision
    90 risk factors
    91 scoring
    92 series
    93 study
    94 study protocol
    95 subjects
    96 subsequent outcomes
    97 substantial limitations
    98 superficial infection
    99 surgical technique
    100 surgical treatment
    101 systematic review
    102 technique
    103 terms
    104 terms of subjects
    105 tibia
    106 tibia fractures
    107 treatment
    108 treatment outcomes
    109 trials
    110 types
    111 understanding
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