Outcome of Infection Following Internal Fixation of Closed Fractures
Nazri M.Y., and Halim Y.A., (2004) Outcome of Infection Following Internal Fixation of Closed Fractures. Medical Journal of Malaysia, 59 (5). pp. 665-669. ISSN 0300-5283
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International Islamic University Malaysia. Kuliyyah of Medicine. Dept. of Orthopaedics, Traumatology and Rehabilitation.
University Sains Malaysia. Dept. of Orthopaedics.
A retrospective study was done in 30 patients with infected closed fractures treated initially by open reduction and internal fixation. Nineteen fractures involved the femur, 8 the tibia, 2 the radius and 1 the ulna. Twenty-five were diaphyseal and 5 metaphyseal. Twenty-two fractures had initially been treated with plating and 8 with intramedullary nailing. Thirteen patients presented in the acute phase and 17 in the subacute phase of infection. Twenty-two patients presented with low grade infection and 8 with florid infection. The commonest organism isolated was (80%), of which fifty four percent was resistant to Methicillin (MRSA). This study showed that 77% of infected fractures with a stable implant united even in the presence of infection.
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