Relationship between skin and urine colonization and surgical site infection in the proximal femur fracture: a prospective study.

Abstract:

PURPOSE:Antibiotic prophylaxis is routinely used in the surgical management of proximal femur fractures. The role of bacterial colonization of the skin and urine in the development of deep surgical site infections (SSI) is yet to be elucidated. This study aimed to evaluate the role of previous skin and urine colonization in the development of deep SSI after a proximal femoral fracture surgery. METHODS:We conducted a prospective observational study in 326 patients > 64 years old, who were scheduled to surgery. Cultures from skin samples of the surgical site and from urine were performed prior to the procedure, and cefazoline was administered as prophylaxis. RESULTS:Skin microbiota was isolated in 233 (71.5%) cases; 8 (2.5%) samples were positive for other bacteria, and 85 (26%) were negative. Of 236 urine samples, 168 were negative or contaminated (71.2%), and 68 (28.8%) were positive, being 58/236 for Enterobacterales (24.6%). Acute deep SSI were diagnosed in nine out of 326 patients (2.7%), and two (22%) were infected by Gram-negative bacilli. Of the 9 cases, normal skin microbiota was isolated in 7 (78%), and the remaining two were negative. Seven cases had negative or contaminated urine cultures, and the one with E. coli did not correlate with SSI bacteria. CONCLUSION:In our elderly hip fracture population, most patients harbored normal skin microbiota, and Enterobacterales urine cultures were positive in one-quarter of cases. There was no relationship between skin colonization, urine culture, and deep SSI. We therefore do not believe that our patients would benefit from modifying the current antibiotic prophylaxis.

journal_name

Int Orthop

authors

Cuchí E,García LG,Jiménez E,Haro D,Castillón P,Puertas L,Matamala A,Anglès F,Pérez J

doi

10.1007/s00264-020-04525-w

subject

Has Abstract

pub_date

2020-06-01 00:00:00

pages

1031-1035

issue

6

eissn

0341-2695

issn

1432-5195

pii

10.1007/s00264-020-04525-w

journal_volume

44

pub_type

杂志文章
  • The Belfast technique for the treatment of chronic osteomyelitis in a tropical teaching hospital.

    abstract::From September 1995 to August 2001, we treated 25 patients with chronic osteomyelitis of long bones by a two-stage technique. This consisted of the radical removal of all infected bone and soft tissue and immediate provision of soft-tissue cover. This was supplemented when necessary with delayed autogenous bone grafti...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-002-0416-7

    authors: Alonge TO,Ogunlade SO,Omololu AB

    更新日期:2003-01-01 00:00:00

  • Angiogenic cytokine expression profiles in plasma and synovial fluid of primary knee osteoarthritis.

    abstract:PURPOSE:The aim of this study was to compare angiogenic cytokine levels in knee osteoarthritis (OA) patients and healthy controls and to investigate the relationships between angiogenic cytokines and the OA severity. METHODS:Thirty-one knee OA patients and 15 healthy controls were recruited. Nine angiogenic cytokines ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-014-2406-y

    authors: Mabey T,Honsawek S,Saetan N,Poovorawan Y,Tanavalee A,Yuktanandana P

    更新日期:2014-09-01 00:00:00

  • Periprosthetic femoral fracture as cause of early revision after short stem hip arthroplasty-a multicentric analysis.

    abstract:BACKGROUND:The objective of this study was to analyze the prevalence and causes of early re-operation after hip replacement surgery using short bone-preserving stems in a large multicentre series. Specifically, we evaluated the clinical features of periprosthetic fractures occurring around short stems. METHODS:A total...

    journal_title:International orthopaedics

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00264-018-3930-y

    authors: Kim SM,Han SB,Rhyu KH,Yoo JJ,Oh KJ,Yoo JH,Lee KJ,Lim SJ

    更新日期:2018-09-01 00:00:00

  • Correction accuracy and collateral laxity in open versus closed wedge high tibial osteotomy. A one-year randomised controlled study.

    abstract::In a randomised clinical trial in 50 patients with symptomatic osteoarthritis of the medial compartment of the knee, the clinical results of high tibial osteotomy (HTO) according to the open wedge osteotomy (OWO) and closed wedge osteotomy (CWO) were compared. In both groups locked plate fixation was used. Clinical an...

    journal_title:International orthopaedics

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00264-009-0861-7

    authors: Gaasbeek RD,Nicolaas L,Rijnberg WJ,van Loon CJ,van Kampen A

    更新日期:2010-02-01 00:00:00

  • Bone mineral assessment by dual-energy X-ray absorptiometry in patients with coxarthrosis.

    abstract::Forty patients with unilateral osteoarthritis of the hip were studied with dual energy X-ray absorptiometry to quantify disuse osteopenia in their affected leg by examining the proximal femur and tibia. Bone loss was assessed as a percentage of the contralateral value which compares bone mineral density of the affecte...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00188325

    authors: Masuhara K,Kato Y,Ejima Y,Fuji T,Hamada H

    更新日期:1994-01-01 00:00:00

  • Continuous infusion of insulin-like growth factor-I into the epiphysis of the tibia.

    abstract::We have developed a method to promote longitudinal bone growth at the level of a specific growth-plate (GP) in young rabbits. Insulin-like growth factor-I (IGF-I) was continuously infused by means of an osmotic pump into the bone marrow cavity of the proximal epiphysis of the tibia. Radiological measurement showed a 2...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-007-0336-7

    authors: Abbaspour A,Takata S,Matsui Y,Katoh S,Takahashi M,Yasui N

    更新日期:2008-06-01 00:00:00

  • The influence of stem offset and neck shaft angles on the range of motion in total hip arthroplasty.

    abstract:PURPOSE:To evaluate the influence of stem offset and neck shaft angles on the range of motion before component impingement (ROMCI) and bony impingement (ROMBI), and the types of impingement in total hip arthroplasty (THA). METHODS:Using the computed tomography data of 101 patients who underwent THA, three-dimensional ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-015-2826-3

    authors: Shoji T,Yamasaki T,Izumi S,Hachisuka S,Ochi M

    更新日期:2016-02-01 00:00:00

  • Treatment of the aneurysmal bone cyst by percutaneous intracystic sclerotherapy using ethanol ninety five percent in children.

    abstract:INTRODUCTION:Aneurysmal bone cyst (ABC) is a benign intraosseous lesion filled with blood that can determine a blowout distension of the bone. The purpose of this study is to evaluate the efficacy of sclerotherapy by percutaneous intralesional administration of ethanol 96% for the treatment of this pathology in paediat...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-018-3841-y

    authors: Ulici A,Florea DC,Carp M,Ladaru A,Tevanov I

    更新日期:2018-06-01 00:00:00

  • Spontaneous regression of neurogenic heterotopic ossification.

    abstract::A description is given of an unusual case of a 13 year old girl who showed complete regression of neurogenically induced heterotopic ossification following recovery from her head injury. The case report indicates that heterotopic ossification is not necessarily permanent following neurological disturbance, but may be ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00267736

    authors: van der Linden AJ

    更新日期:1984-01-01 00:00:00

  • Pneumatic compression with foot pumps facilitates early postoperative mobilisation in total knee arthroplasty.

    abstract::Deep-vein thrombosis (DVT) and pulmonary embolism (PE) represent life-threatening postoperative complications frequently responsible for in-hospital mortality following total knee arthroplasty (TKA). Mechanical prophylaxis in the form of a foot pump offers an alternative to pharmacological and physical therapy. The ai...

    journal_title:International orthopaedics

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00264-010-1091-8

    authors: Windisch C,Kolb W,Kolb K,Grützner P,Venbrocks R,Anders J

    更新日期:2011-07-01 00:00:00

  • Urinary catheterisation and deep wound infection after hip fracture surgery.

    abstract::We have studied the incidence of deep wound infection after hip fracture surgery and its relationship to urinary catheterisation. Infection after hemiarthroplasty occurred in 16/949 cases and 10/1,143 sliding hip screw fixations. No cases of deep sepsis were seen for the 203 patients treated with an intramedullary nai...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-006-0227-3

    authors: Cumming D,Parker MJ

    更新日期:2007-08-01 00:00:00

  • Kinematic factors affecting postoperative knee flexion after cruciate-retaining total knee arthroplasty.

    abstract:PURPOSE:The purpose of this study was to investigate kinematic factors affecting postoperative knee flexion after cruciate-retaining (CR) total knee arthroplasty (TKA) by analysing pre- and postoperative knee kinematics. METHODS:We retrospectively analysed 58 patients with osteoarthritis who received the same implant ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-013-1803-y

    authors: Matsuzaki T,Matsumoto T,Muratsu H,Kubo S,Matsushita T,Kawakami Y,Ishida K,Oka S,Kuroda R,Kurosaka M

    更新日期:2013-05-01 00:00:00

  • Clinical study of outcomes after revision surgery using porous titanium custom-made implants for severe acetabular septic bone defects.

    abstract:PURPOSE:Acetabular bone loss is a challenging problem in revision total hip arthroplasty (rTHA). Severe bone loss is not uncommon especially in periprosthetic joint infection. Surgical options, including revision shells, rings, and cages-with or without bone allograft-are affected by high complication rates and unsatis...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-020-04623-9

    authors: Burastero G,Cavagnaro L,Chiarlone F,Zanirato A,Mosconi L,Felli L,de Lorenzo FDR

    更新日期:2020-10-01 00:00:00

  • Anterior thigh pain after cementless total hip arthroplasty.

    abstract::We compared the incidence of anterior thigh pain retrospectively following primary uncemented total hip replacement in 70 patients (78 hips) with osteoarthritis. In one group (38 hips), an Endoplus porous-coated, canal-filling prosthesis was inserted through an anterolateral approach. In the other group (40 hips), a F...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-005-0642-x

    authors: Faraj AA,Yousuf M

    更新日期:2005-06-01 00:00:00

  • Fixation of periprosthetic or osteoporotic distal femoral fractures with locking plates: a pilot randomised controlled trial.

    abstract:INTRODUCTION:We hypothesised that the use of a polyaxial locking plate design offers the same clinical benefits as a monoaxial locking plate system following distal femoral osteoporotic/periprosthetic fracture fixation. METHOD:A multicentre prospective randomised pilot trial was conducted. Inclusion criteria were pati...

    journal_title:International orthopaedics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s00264-018-4061-1

    authors: Kanakaris NK,Obakponovwe O,Krkovic M,Costa ML,Shaw D,Mohanty KR,West RM,Giannoudis PV

    更新日期:2019-05-01 00:00:00

  • The healing of flexor tendons in chickens.

    abstract::The healing of flexor tendons was studied in chickens using transmission electron microscopy. After resecting the flexor sheath between the proximal and distal pulleys in zone II, the profundus tendon was severed and sutured. Intermittent passive motion was carried out 35 times daily immediately afterwards. The chicke...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00189620

    authors: Siddiqi NA,Hamada Y,Noryia A

    更新日期:1992-01-01 00:00:00

  • Mechanoreceptors in collateral knee ligaments: an animal experiment.

    abstract::The mechanoreceptors in the collateral ligaments of the knee joint in rat hindlimbs were studied. In group II (n=10) the femoral and obturator nerves were sectioned. In both groups III and V (n=20) the sciatic nerve was sectioned. In group V (n=10) the sectioned sciatic nerve was sutured 4 weeks after sectioning. In g...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s002640050338

    authors: Delgado-Baeza E,Utrilla-Mainz V,Contreras-Porta J,Santos-Alvarez I,Martos-Rodríguez A

    更新日期:1999-01-01 00:00:00

  • Long-standing unreduced dislocation of the knee. A case report.

    abstract::We have successfully treated a middle aged woman with long-standing posterior dislocations of the knee, using two stage external fixation and arthrodesis. ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s002640050259

    authors: Vicente-Guillen P,Figa-Mataró J,Coloma-Bellver J

    更新日期:1998-01-01 00:00:00

  • The duration of denervation and regeneration in nerve grafting. Quantitative histological assessment in the rat.

    abstract::The common peroneal nerves of 15 male rats were severed and the rats were divided into four groups: immediate grafting (I group); grafting delayed one month (IM group); grafting delayed for three months (3M group) and 5 healthy rats were used as controls (control group). All the rats were sacrificed 5 months after gra...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00266515

    authors: Miyamoto Y,Sugita T,Higaki T,Ikuta Y,Tsuge K

    更新日期:1985-01-01 00:00:00

  • Concentrated autologous bone marrow aspirate transplantation treatment for corticosteroid-induced osteonecrosis of the femoral head in systemic lupus erythematosus.

    abstract::The purpose of this study was to evaluate concentrated autologous bone marrow aspirate transplantation (CABMAT) treatment for corticosteroid-induced osteonecrosis of the femoral head (ONFH) in systemic lupus erythematosus (SLE). Bone marrow was aspirated from iliac crests, concentrated on a conventional manual blood b...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-010-1048-y

    authors: Yoshioka T,Mishima H,Akaogi H,Sakai S,Li M,Ochiai N

    更新日期:2011-06-01 00:00:00

  • Frozen shoulder syndrome. A comparison of hydraulic distension and manipulation.

    abstract::Thirty-two patients, who had frozen shoulders which had not improved with physiotherapy, were treated by manipulation under general anaesthesia or by steroid injection and hydraulic distension under local anaesthesia. Distension is recommended as it is easy to carry out and gave better results than manipulation. ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00181697

    authors: Sharma RK,Bajekal RA,Bhan S

    更新日期:1993-11-01 00:00:00

  • Peri-articular injection of an analgesic mixture in primary total hip arthroplasty: an effective strategy for pain control during the first post-operative day.

    abstract:BACKGROUND:Previous studies of soft tissue infiltration in hip arthroplasty present variable results. The purpose of this study is to identify whether injection of an analgesic mixture improves pain management during the immediate post-operative period. MATERIALS AND METHODS:This cohort study compared 129 patients tha...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-018-3788-z

    authors: Bautista M,Muskus M,Llinás A,Bonilla G,Guerrero C,Moyano J

    更新日期:2018-08-01 00:00:00

  • Avascular necrosis of the femoral head: inter- and intraobserver variations of Ficat and ARCO classifications.

    abstract::Diagnosis of avascular necrosis (AVN) of the femoral head depends on the combination of clinical symptoms and evaluation of radiographs and/or magnetic resonance imaging (MRI). To evaluate the evolution of AVN, the Ficat and the Association Research Circulation Osseous (ARCO) classification are commonly used to assess...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-007-0320-2

    authors: Schmitt-Sody M,Kirchhoff C,Mayer W,Goebel M,Jansson V

    更新日期:2008-06-01 00:00:00

  • Oblique tibial osteotomy for rotational and varus deformities in children.

    abstract::A technique of oblique tibial osteotomy is described which is effective in correcting varus and medial rotational deformities in young children. The oblique cut in one plane corrects both elements of the deformity at the same time. We have used the method on both legs in four children and satisfactory results were obt...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00183361

    authors: Eguchi M,Ogata K,Kawamura H,Shiota E,Sugioka Y

    更新日期:1990-01-01 00:00:00

  • Clinical outcomes with the corticotomy-first technique associated with the Ilizarov method for the management of the septic long bones non-union.

    abstract:PURPOSE:Corticotomy is an integral part of the Ilizarov method on management of infected nonunited fractures that are challenging orthopaedic surgeons. However, the presence of active draining sinuses may contaminate the operative field with the potential of developing corticotomy site infection. The authors present a ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-018-3924-9

    authors: Hosny GA,Ahmed AA,Hussein MA

    更新日期:2018-12-01 00:00:00

  • Problems with the Mennen plate when used for femoral fractures associated with implants. A report of 5 patients.

    abstract::The Mennen plate has been used for osteosynthesis of 5 femoral fractures, 4 of which were at the tip of a prosthesis stem. Union was achieved in 2 fractures, and loss of fixation of the plate in three. ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s002640050234

    authors: Petersen VS

    更新日期:1998-01-01 00:00:00

  • High platelet-to-lymphocyte ratio predicts poor survival of elderly patients with hip fracture.

    abstract:PURPOSE:The platelet-to-lymphocyte ratio (PLR) has been extensively studied in various diseases. However, the relationship between PLR and hip fracture remains unknown. The aim of this study was to evaluate whether PLR would be an independent prognostic factor in elderly hip fracture patients. METHODS:Between January ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-020-04833-1

    authors: Wang Z,Wang H,Yang L,Jiang W,Chen X,Liu Y

    更新日期:2021-01-01 00:00:00

  • Better results with patelloplasty compared to traditional total knee arthroplasty.

    abstract:PURPOSE:The aim of this study was to compare the results of primary total knee arthroplasty with or without patelloplasty. METHODS:We retrospectively reviewed 89 patients who had received total knee arthroplasty. In patelloplasty, the patellar cartilage was resected using a tangential saw cut, and in the traditional t...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-014-2366-2

    authors: Župan A,Snoj Ž,Antolič V,Pompe B

    更新日期:2014-08-01 00:00:00

  • Comparison of transforaminal verse interlaminar epidural steroid injection in low back pain with lumbosacral radicular pain: a meta-analysis of the literature.

    abstract:OBJECTIVE:The object of the present meta-analysis is to compare the effectiveness of transforaminal epidural steroid injection (TFESI) and interlaminar epidural steroid injection (ILESI) for treating patients with low back pain (LBP) secondary to lumbosacral radicular pain. METHODS:A systematic search was performed in...

    journal_title:International orthopaedics

    pub_type: 杂志文章,meta分析

    doi:10.1007/s00264-016-3220-5

    authors: Wei G,Liang J,Chen B,Zhou C,Ru N,Chen J,Zhang F

    更新日期:2016-12-01 00:00:00

  • Short-term follow up after implantation of a cell-free collagen type I matrix for the treatment of large cartilage defects of the knee.

    abstract:PURPOSE:Although there are various new scaffold-based techniques for cartilage regeneration it remains unclear up to which defect size they can be used. The present study reports of a cell-free collagen type I gel matrix for the treatment of large cartilage defects of the knee after a two-year follow-up. METHODS:Twent...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-015-2695-9

    authors: Roessler PP,Pfister B,Gesslein M,Figiel J,Heyse TJ,Colcuc C,Lorbach O,Efe T,Schüttler KF

    更新日期:2015-12-01 00:00:00