Surgical site infections after stabilization of pelvic ring injuries: a retrospective analysis of risk factors and a meta-analysis of similar studies

Article Emergency Medicine

Deep infection following reconstruction of pelvic fractures: prevalence, characteristics, and predisposing risk factors

Nikolaos Konstantinou Kanakaris et al.

Summary: Deep infection following pelvic trauma is rare, with strong correlations found between various patient-, injury-, and surgery-related factors and this serious complication in this retrospective case-control study.

EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY (2022)

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Review Orthopedics

Genitourinary complications in orthopaedic surgery

Edward J. Testa et al.

Summary: Genitourinary complications following orthopaedic intervention are uncommon but can have severe consequences. The location and surgical approach of the intervention play a role in the type and severity of complications. Urologic injuries may present immediately or have delayed manifestations, which can lead to serious complications. Orthopaedic providers play a crucial role in timely and proper diagnosis. Understanding anatomy and at-risk structures is important for both prevention and identification of injury.

EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY (2022)

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Article Critical Care Medicine

Are deep infections that present before and after 90 days from orthopaedic trauma different? An analysis of the validity of the recent change in CDC criteria for infections

Brent T. Wise et al.

Summary: This study investigated the time frame and factors associated with deep surgical site infection (SSI) in orthopedic trauma patients. The findings suggest that using a 90-day time frame underestimates the actual infection rate, and late infection is associated with hepatitis C, HIV infection, and ICU admission, while early infection is associated with male sex and fractures of the pelvis, acetabulum, or hip.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2022)

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Article Orthopedics

Surgical debridement of infected pubic symphysitis supports optimal outcome

Benjamin Devlieger et al.

Summary: Infected pubic symphysitis (IPS) is a rare bacterial infection that causes subpubic pain and disability. Surgical debridement is essential for treating IPS and should be combined with local and systemic antibiotic therapy to prevent recurrence.

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY (2021)

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Article Orthopedics

Minimally invasive internal fixation for unstable pelvic ring fractures: a retrospective study of 27 cases

Shuang Wu et al.

Summary: The study evaluated the radiographic and clinical outcomes of anterior subcutaneous internal fixation (INFIX) with or without posterior fixation for unstable pelvic fractures. The results showed that both methods achieved satisfactory radiographic and functional outcomes. Operative time, intraoperative blood loss, and hospital stay duration were within acceptable ranges, with low incidence of sacral nerve injury and overall good patient outcomes during follow-up.

JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH (2021)

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Article Orthopedics

INFIX-safe and effective surgical option for complex fracture patterns of the anterior pelvic ring: A prospective single center study

Sushank Sharma et al.

Summary: The study evaluated the use of INFIX as a minimally invasive procedure for complex fracture patterns of the anterior pelvic ring in the Indian population. Results showed that INFIX was safe and effective, with excellent fracture reduction and functional outcomes, and predictable fracture healing. Complications were minimal, with lateral femoral cutaneous nerve palsy being the most common.

JOURNAL OF ORTHOPAEDICS (2021)

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Article Emergency Medicine

Minimally invasive posterior locked compression plate osteosynthesis shows excellent results in elderly patients with fragility fractures of the pelvis

Imke U. Schmerwitz et al.

Summary: The study evaluated the clinical outcome of using a minimally invasive posterior locked compression plate (MIPLCP) as a therapeutic alternative for fragility fractures of the pelvis (FFP) in older patients. It showed that MIPLCP osteosynthesis is a safe surgical option for FFP 3 and FFP 4 patients, with relatively low complication rates and good functional outcomes. Postoperative complications were noted in 17% of patients, with a mortality rate of 1 patient due to pneumonia. The treatment allowed a majority of patients to return to their previous living situations, with positive pain levels and IOWA Pelvic Scores at follow-up.

EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY (2021)

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Article Clinical Neurology