Evaluation of Effect of Timing of Debridement of Long Bones Open Fractures on the Postoperative Infection Rates: A Prospective Cohort Study | ||
| The Egyptian Orthopaedic Journal | ||
| Volume 60, Issue 3, September 2025, Pages 221-229 PDF (942.48 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/EOJ.2025.449736 | ||
| Authors | ||
| Ayman Tawfik Henawy* ; Sam S. Samaan; Sameh M. Aboelfadal | ||
| Department of Orthopedic Surgery, Suez Canal University Hospitals, Ismailia, Egypt. | ||
| Abstract | ||
| Background Egypt loses about 12,000 lives as a result of road traffic crashes every year. Road traffic fatality rate is 42 deaths per 100,000 population. Moreover, there is an increasing rate of firearm injuries following struggles and violence, especially after the 2011 revolution. This study aimed to compare infection and union rates among early intervention (within 6 hours) and late intervention (between 6 to 12 hours) groups of patients with open fractures in the upper and lower extremities. Patients and Methods In the period from January 2021 to November 2023, this study was carried out as a multi-surgeon, single-centered (Orthopaedic surgery department – Suez Canal University, Ismailia, Egypt) as a prospective cohort study. It was carried out on 70 patients who presented to the Accident and Emergency Department of Suez Canal University Hospitals. Results The mean Age of group I was 37.9428, while in group II it was 35.9428, female to female-to-male ratio in group I was 0.371, while in group II it was 0.4. Road Traffic Accidents account for 60% of group I and 45.71% of group II. The Immediate Swab yielded the growth of Staph. Aureus in 34.28% of Group I and 37.14% in Group II. Removal of external fixator required 6 months in 80% of group I and 71.42% Group II, neurovascular complications were exemplified in 34.28% of group I and 42.85% of group II. Conclusions The time of debridement is a very important factor to decrease bone infection in open fracture patients, as early debridement before 6 hours is better than delayed debridement for more than 6 hours. | ||
| Keywords | ||
| Debridement; External fixation; Open fracture | ||
|
Statistics Article View: 11 PDF Download: 2 |
||
