• Eur J Trauma Emerg Surg · Dec 2020

    Multicenter Study

    Effect of fracturoscopy on the incidence of surgical site infections post tibial plateau fracture surgery.

    • Ralf Henkelmann, Matthias Krause, Lena Alm, Richard Glaab, Meinhard Mende, Christopher Ull, Philipp-Johannes Braun, Christoph Katthagen, Tobias J Gensior, Karl-Heinz Frosch, and Pierre Hepp.
    • Department of Orthopedics, Trauma and Plastic Surgery, University of Leipzig, Liebigstraße 20, 0410, Leipzig, Germany. ralf.henkelmann@medizin.uni-leipzig.de.
    • Eur J Trauma Emerg Surg. 2020 Dec 1; 46 (6): 1249-1255.

    PurposeSurgical treatment of tibial plateau fracture (TPF) is common. Surgical site infections (SSI) are among the most serious complications of TPF. This multicentre study aimed to evaluate the effect of fracturoscopy on the incidence of surgical site infections in patients with TPF.MethodsWe performed a retrospective multicentre study. All patients with an AO/OTA 41 B and C TPF from January 2005 to December 2014 were included. Patients were divided into three groups: those who underwent arthroscopic reduction and internal fixation (ARIF), and those who underwent open reduction and internal fixation (ORIF) with fracturoscopy, and those treated with ORIF without fracturoscopy. The groups were compared to assess the effect of fracturoscopy. We characterised our cohort and the subgroups using descriptive statistics. Furthermore, we fitted a logistic regression model which was reduced and simplified by a selection procedure (both directions) using the Akaike information criterion (AIC). From the final model, odds ratios and inclusive 95% confidence intervals were calculated.ResultsOverall, 52 patients who underwent fracturoscopy, 48 patients who underwent ARIF, and 2000 patients treated with ORIF were identified. The rate of SSI was 0% (0/48) in the ARIF group and 1.9% (1/52) in the fracturoscopy group compared to 4.7% (93/2000) in the ORIF group (OR = 0.40, p = 0.37). Regression analyses indicated a potential positive effect of fracturoscopy (OR, 0.65; 95% CI, 0.07-5.68; p = 0.69).ConclusionOur study shows that fracturoscopy is associated with reduced rates of SSI. Further studies with larger cohorts are needed to investigate this.Level Of EvidenceLevel III.

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