Authors :
Dr Justin Thomas; Dr Ramanujam. P.
Volume/Issue :
Volume 8 - 2023, Issue 6 - June
Google Scholar :
https://bit.ly/3TmGbDi
Scribd :
https://tinyurl.com/yc4p23js
DOI :
https://doi.org/10.5281/zenodo.8094826
Abstract :
INTRODUCTION : Post operative infection is a dreadful
complication of orthopaedic surgery. Implant associated
infection can lead to a spectrum of complications from
non union to sepsis and even amputation. Infection leads
to increased duration of hospital stay and increased
chance of nosocomial infections which adds morbidity of
patient. Thus to identify the risk factors of implant
associated infection and to reduce or avoid those prior to,
as well as during surgery.
OBJECTIVES: To estimate risk factors that are
associated with surgical site infection following malleolar
fracture surgeries.
MATERIALS AND METHODS: This case:
control research was conducted at the Government Medi
cal College in Thiruvanathapuram from January 2021 to
December 2021.For this investigation, 40 cases and 40 c
ontrols were collected.
RESULTS: 11 factors were examined for any correlation
with the likelihood of implant-related infection. We
discovered a significant correlation between the risk of
infection and diabetes with no glycemic control (chi
square 7.02 and p 0.007), smoking (chi square 11.3 and p
0.0007), open fracture (chi square 8.49 and p 0.004), the
presence of blebs (chi square 11 and p 0.009), and the
length of surgery (chi square 8.49 and p 0.003).
CONCLUSIONS: In the study of risk factors of surgical
site infection we found diabetes mellitus, smoking, open
fractures , and duration of surgery and blebs had a
significant association. Pre op control of glycemic levels,
strict smoking cessation and correction of skin status
before surgery may reduce surgical site infection.
Keywords :
Implant associated infection, orthopaedic infection, orthopaedic surgical site infections, biofilm.
INTRODUCTION : Post operative infection is a dreadful
complication of orthopaedic surgery. Implant associated
infection can lead to a spectrum of complications from
non union to sepsis and even amputation. Infection leads
to increased duration of hospital stay and increased
chance of nosocomial infections which adds morbidity of
patient. Thus to identify the risk factors of implant
associated infection and to reduce or avoid those prior to,
as well as during surgery.
OBJECTIVES: To estimate risk factors that are
associated with surgical site infection following malleolar
fracture surgeries.
MATERIALS AND METHODS: This case:
control research was conducted at the Government Medi
cal College in Thiruvanathapuram from January 2021 to
December 2021.For this investigation, 40 cases and 40 c
ontrols were collected.
RESULTS: 11 factors were examined for any correlation
with the likelihood of implant-related infection. We
discovered a significant correlation between the risk of
infection and diabetes with no glycemic control (chi
square 7.02 and p 0.007), smoking (chi square 11.3 and p
0.0007), open fracture (chi square 8.49 and p 0.004), the
presence of blebs (chi square 11 and p 0.009), and the
length of surgery (chi square 8.49 and p 0.003).
CONCLUSIONS: In the study of risk factors of surgical
site infection we found diabetes mellitus, smoking, open
fractures , and duration of surgery and blebs had a
significant association. Pre op control of glycemic levels,
strict smoking cessation and correction of skin status
before surgery may reduce surgical site infection.
Keywords :
Implant associated infection, orthopaedic infection, orthopaedic surgical site infections, biofilm.
