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The Archives of Bone and Joint Surgery، جلد ۳، شماره ۳، صفحات ۱۸۴-۱۹۲
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عنوان انگلیسی Hardware Removal Due to Infection after Open Reduction and Internal Fixation: Trends and Predictors
چکیده انگلیسی مقاله Background: Little is known about trends and predictors of hardware related infection following open reduction and internal fixation (ORIF) of extremity fractures, one of the major causes of failure following ORIF. The present study was designed and conducted to determine trends and predictors of infection-related hardware removal following ORIF of extremities using a nationally representative database. Methods: We used Nationwide Inpatient Sample data from 2002 to 2011 to identify cases of ORIF following upper and lower extremity fractures, as well as cases that underwent infection-related hardware removal following ORIF. Multivariate analysis was performed to identify independent predictors of infection-related hardware removal, controlling for patient demographics and comorbidities, hospital characteristics, site of fracture, and year. Results: For all ORIF procedures, the highest rate of hardware removal related to infection was observed in tarsal fractures (5.56%), followed by tibial (3.65%) and carpal (3.37%) fractures. Hardware removal rates due to infection increased in all fractures except radial/ulnar fractures. Tarsal fractures(odds ratio (OR)=1.06, 95% confidence interval (CI): 1.04-1.09, P< 0.001), tibial fractures (OR=1.04, 95% CI: 1.03-1.06, P < 0.001) and those patients with diabetes mellitus (OR=2.64, 95% CI: 2.46-2.84, P< 0.001), liver disease (OR=2.04, 95% CI: 1.84- 2.26, P < 0.001), and rheumatoid arthritis (OR=2.06, 95% CI:1.88-2.25 P < 0.001) were the main predictors of infection-related removals; females were less likely to undergo removal due to infection (OR= 0.61, 95% CI: 0.59-0.63 P < 0.001). Conclusions: Hardware removal rates due to infection increased in all fractures except radial/ulnar fractures. Diabetes, liver disease, and rheumatoid arthritis were important predictors of infection-related hardware removal. The study identified some risk factors for hardwarerelated infection following ORIF, such as diabetes, liver disease, and rheumatoid arthritis,that should be studied further in an attempt to implement strategies to reduce rate of infection following ORIF. 
کلیدواژه‌های انگلیسی مقاله Hardware Removal, Infection, NIS, ORIF
نویسندگان مقاله محمد رسولی | mohammad rasouli
the rothman institute at thomas jefferson university, philadelphia, pa sina trauma and surgery research center, tehran university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

جسیکا viola | jessica viola
the rothman institute at thomas jefferson university, philadelphia, pa


mitchell maltenfort | mitchell maltenfort
the rothman institute at thomas jefferson university, philadelphia, pa


علی سینا شاهی | alisina shahi
the rothman institute at thomas jefferson university, philadelphia, pa


جواد پرویزی | javad parvizi
the rothman institute at thomas jefferson university, philadelphia, pa


جیمز krieg | james krieg
the rothman institute at thomas jefferson university, philadelphia, pa
نشانی اینترنتی http://abjs.mums.ac.ir/article_4335.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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