TY - JOUR
T1 - American Academy of Orthopaedic Surgeons Appropriate Use Criteria
T2 - Prevention of Surgical Site Infections After Major Extremity Trauma
AU - Renninger, Christopher H.
AU - Tedesco, Nicholas S.
AU - Strelzow, Jason
N1 - Publisher Copyright:
© 2023 American Academy of Orthopaedic Surgeons.
PY - 2023/5/15
Y1 - 2023/5/15
N2 - High-energy extremity trauma rates can be difficult to precisely state given the complexity of contributing combined mechanisms; however, the rate of open fractures in the United States is 11.5 to 13 per 100,000 people. The management of high-energy extremity fractures presents many challenges for treating surgeons, including elevated risk of surgical site infections (SSIs). In recent studies, higher risk closed injuries are associated with deep SSI rates as high as 19% after surgical treatment and for severe open injuries, which rate surpasses 30%. Fracture-related infections are associated with notable costs and decreased long-term functional outcomes. Identified risk factors for the development of deep SSIs are primarily related to the severity of injury and its location. The quality of the vast literature identifying available interventions to decrease the risk of developing SSIs is highly variable, and it is unclear how consistently these interventions are applied.
AB - High-energy extremity trauma rates can be difficult to precisely state given the complexity of contributing combined mechanisms; however, the rate of open fractures in the United States is 11.5 to 13 per 100,000 people. The management of high-energy extremity fractures presents many challenges for treating surgeons, including elevated risk of surgical site infections (SSIs). In recent studies, higher risk closed injuries are associated with deep SSI rates as high as 19% after surgical treatment and for severe open injuries, which rate surpasses 30%. Fracture-related infections are associated with notable costs and decreased long-term functional outcomes. Identified risk factors for the development of deep SSIs are primarily related to the severity of injury and its location. The quality of the vast literature identifying available interventions to decrease the risk of developing SSIs is highly variable, and it is unclear how consistently these interventions are applied.
UR - http://www.scopus.com/inward/record.url?scp=85159325188&partnerID=8YFLogxK
U2 - 10.5435/JAAOS-D-22-00969
DO - 10.5435/JAAOS-D-22-00969
M3 - Review article
C2 - 37015105
AN - SCOPUS:85159325188
SN - 1067-151X
VL - 31
SP - 497
EP - 504
JO - Journal of the American Academy of Orthopaedic Surgeons
JF - Journal of the American Academy of Orthopaedic Surgeons
IS - 10
ER -