Surgeon preferences regarding antibiotic prophylaxis for ballistic fractures.

Abstract:

BACKGROUND:Scant evidence exists to support antibiotic use for low velocity ballistic fractures (LVBF). We therefore sought to define current practice patterns. We hypothesized that most surgeons prescribe antibiotics for LVBF, prescribing is not driven by institutional protocols, and that decisions are based on protocols utilized for blunt trauma. MATERIALS AND METHODS:A web-based questionnaire was emailed to the membership of the Orthopaedic Trauma Association (OTA). The questionnaire included demographic information and questions about LVBF treatment practices. Two hundred and twenty surgeons responded. One hundred and fifty-four (70 %) respondents worked at a Level-1 trauma center, 176 (80 %) had received fellowship education in orthopaedic trauma and 104 (47 %) treated at least 10 ballistic fractures annually. Responses were analyzed with SAS 9.3 for Windows (SAS Institute Inc, Cary, NC). RESULTS:One hundred eighty-six respondents (86 %) routinely provide antibiotics for LVBF. Those who did not were more apt to do so for intra-articular fractures (8/16, 50 %) and pelvic fractures with visceral injury (10/16, 63 %). Most surgeons (167, 76 %) do not believe the Gustilo-Anderson classification applies to ballistic fractures, and (20/29, 70 %) do not base their antibiotic choice on the classification system. Few institutions (58, 26 %) have protocols guiding antibiotic use for LVBF. CONCLUSIONS:Routine antibiotic use for LVBF is common; however, practice is not dictated by institutional protocol. Although antibiotic use generally follows current blunt trauma guidelines, surgeons do not base their treatment decisions the Gustilo-Anderson classification. Given the high rate of antibiotic use for LVBF, further study should focus on providing evidence-based treatment guidelines.

authors

Marecek GS,Earhart JS,Gardner MJ,Davis J,Merk BR

doi

10.1007/s00402-016-2450-8

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

751-4

issue

6

eissn

0936-8051

issn

1434-3916

pii

10.1007/s00402-016-2450-8

journal_volume

136

pub_type

杂志文章
  • Bone mineral density of the shoulder joint in frozen shoulder.

    abstract::The purpose of this study was to evaluate the osteopenia in several parts of the shoulder joint in a series of individuals suffering from frozen shoulder and to elucidate the pathogenesis. The bone mineral density (BMD) was measured by dual-energy X-ray absorptiometry (DEXA). In 30 cases of frozen shoulder, 16 men and...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s004020050430

    authors: Okamura K,Ozaki J

    更新日期:1999-01-01 00:00:00

  • What is the tolerated width of periacetabular osteophytes to avoid impingement in cementless THA?: a three-dimensional simulation study.

    abstract:BACKGROUNDS:Impingement is a risk factor for instability and prosthetic failure following total hip arthroplasty (THA). If the periacetabular osteophytes are not removed at surgery, impingement could occur between the osteophytes and the femoral stem following THA. However, excessive removal of the osteophytes could le...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-018-2982-1

    authors: Kim JT,Lee J,Lee YK,Ha YC,Won YY,Lee K,Khanduja V,Koo KH

    更新日期:2018-08-01 00:00:00

  • Problems of bridging plate fixation for the treatment of forearm shaft fractures with the locking compression plate.

    abstract:INTRODUCTION:Treatment of diaphyseal forearm fractures by open reduction and internal plate fixation is a well-accepted strategy. In a variety of fracture localizations, the use of bridging plate fixation with locking compression plates (LCP) has been shown to improve biomechanical and biological characteristics. Only ...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-010-1119-y

    authors: Henle P,Ortlieb K,Kuminack K,Mueller CA,Suedkamp NP

    更新日期:2011-01-01 00:00:00

  • Horse-related injuries in a thoroughbred stabling area in Japan.

    abstract::To investigate the demographic details and patterns of injuries related to horse handling, we reviewed 637 horse-related injuries in 581 stable- or stud-workers in a representative area of thoroughbred stabling in Japan. We found that (1) injuries occurred most frequently in a group of a relatively young workers, with...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s004020100278

    authors: Iba K,Wada T,Kawaguchi S,Fujisaki T,Yamashita T,Ishii S

    更新日期:2001-10-01 00:00:00

  • Bone loss after hip fracture is correlated to the postoperative degree of mobilisation.

    abstract::This study quantifies changes in bone mineral density (BMD) in the opposite hip and in both proximal tibiae and the correlation with the use of walking aids for patients with two types of hip fracture during the 1st year after surgery. In all, 26 women and 15 men aged 42-88 years (median 71 years) were included. Twent...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s004020050291

    authors: Zerahn B,Olsen C,Stephensen S,Kanstrup IL,Schwarz Lausten G

    更新日期:1998-01-01 00:00:00

  • Antibiotic prophylaxis in lower-extremity amputations due to ischemia. A prospective, randomized trial of cephalothin versus methicillin.

    abstract::The efficiency of prophylactic antibiotic therapy in amputation surgery was studied in a prospective, randomized trial of a first-generation cephalosporin (cephalothin) compared with a narrow-spectrum beta-lactam stable penicillin (methicillin). Eighty-eight patients received cephalothin 2 g X 4 on the day of operatio...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/BF00439382

    authors: Thomsen S,Jakobsen BW,Wethelund JO,Dalsgaard J,Gregersen HN,Lucht U

    更新日期:1990-01-01 00:00:00

  • Assessing leg length discrepancy following elastic stable intramedullary nailing for paediatric femoral diaphyseal fractures.

    abstract:INTRODUCTION:Femoral overgrowth is a recognised phenomenon following fractures of the femoral diaphysis in children. This study was designed to assess leg length discrepancy (LLD) following elastic stable intramedullary nailing (ESIN) and its clinical significance. MATERIALS AND METHODS:A retrospective review of child...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-006-0251-1

    authors: Mutimer J,Hammett RD,Eldridge JD

    更新日期:2007-07-01 00:00:00

  • Surgical treatment of displaced medial clavicle fractures using a small T-shaped plate and tension band sutures.

    abstract::The surgical treatment of medial clavicle nonunion is associated with high complication and failure rates, particularly with regard to metal work migration. Therefore, we describe a simple surgical procedure for displaced medial clavicle fractures using a small T-shaped plate and multiple tension band sutures. After s...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-011-1367-5

    authors: Kim KC,Shin HD,Cha SM

    更新日期:2011-12-01 00:00:00

  • The Lubinus patellofemoral arthroplasty: a series of 17 cases.

    abstract:INTRODUCTION:The Lubinus patellofemoral arthroplasty was introduced in our institution in 1994. The first 17 patients were followed-up in order to identify the short-term outcome for this prosthesis. MATERIALS AND METHODS:The average age at surgery was 66 years (range 37-82 years). The mean follow-up was 19 months. Th...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-004-0645-x

    authors: Board TN,Mahmood A,Ryan WG,Banks AJ

    更新日期:2004-06-01 00:00:00

  • Role of an anatomically contoured plate and metal block for balanced stability between the implant and lateral hinge in open-wedge high-tibial osteotomy.

    abstract:INTRODUCTION:Open-wedge high tibial osteotomy (OWHTO) is a well-established surgical option for medial compartment osteoarthritis of the varus knee. The initial strength of the fixation plate is critical for successful correction maintenance and healing of the osteotomy site. This study was conducted to verify if a new...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-018-2918-9

    authors: Jang YW,Lim D,Seo H,Lee MC,Lee OS,Lee YS

    更新日期:2018-07-01 00:00:00

  • Reconstruction of acute anterior cruciate ligament injuries: a prospective, randomised study of 40 patients with 7-year follow-up. No advantage of synthetic augmentation compared to a traditional patellar tendon graft.

    abstract:BACKGROUND:In a prospective, randomised study, we compared the results of anterior cruciate ligament reconstruction using the conventional medial patellar tendon strip procedure with the Kennedy ligament augmentation device (LAD) over-the-top augmentation technique. The aim of the study was to see if the addition of th...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s00402-002-0457-9

    authors: Muren O,Dahlstedt L,Dalén N

    更新日期:2003-05-01 00:00:00

  • The effect of high and low pressure pulsatile lavage on soft tissue and cortical blood flow: a canine segmental humerus fracture model.

    abstract:OBJECTIVE:To determine the effect of high pressure pulsatile lavage (HPPL) and low pressure pulsatile lavage (LPPL) on cortical and soft tissue blood flow in a canine humerus segmental fracture model. DESIGN:Midshaft humeral osteotomies to create a 2-cm segment of diaphyseal bone were performed on bilateral canine hum...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-007-0417-5

    authors: Di Pasquale DJ,Bhandari M,Tov A,Schemitsch EH

    更新日期:2007-12-01 00:00:00

  • Aneurysmal bone cyst of spine: a review of literature.

    abstract::Aneurysmal bone cysts (ABC) are benign, highly vascular osseous lesions characterized by cystic, blood-filled spaces surrounded by thin perimeters of expanded bone. Children and young adults are most affected by spinal ABCs. We document a review of literature. ...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00402-007-0477-6

    authors: Saccomanni B

    更新日期:2008-10-01 00:00:00

  • Radial head prosthesis after fracture of radial head with associated elbow instability.

    abstract:INTRODUCTION:Fractures of the radial head and associated elbow instability can be treated with operation with radial head prosthesis. In this study, we evaluate function 1-7 years after implantation and also function after removal of five prostheses. MATERIAL AND METHODS:Eighteen patients with radial head fracture and...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-005-0032-2

    authors: Wretenberg P,Ericson A,Stark A

    更新日期:2006-04-01 00:00:00

  • Usefulness of a navigation system in surgery for scoliosis: segmental pedicle screw fixation in the treatment.

    abstract:STUDY DESIGN:Postoperative outcomes of segmental pedicle screw fixation were evaluated in posterior scoliosis surgery with the use of navigation system. OBJECTIVES:We report the usefulness of a navigation system and a segmental pedicle screw fixation in surgery for scoliosis. SUMMARY OF BACKGROUND DATA:Few reports on...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-008-0807-3

    authors: Nakanishi K,Tanaka M,Misawa H,Sugimoto Y,Takigawa T,Ozaki T

    更新日期:2009-09-01 00:00:00

  • Intraoperative periprosthetic femur fracture during bipolar hemiarthroplasty for displaced femoral neck fractures.

    abstract:INTRODUCTION:We aim to review the incidence and risk factors for the development of intraoperative periprosthetic femur fractures while performing a bipolar hemiarthroplasty for displaced neck of femur fractures. Our secondary aim is to characterize the types of intraoperative periprosthetic fractures, the steps leadin...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-018-2952-7

    authors: Hong CC,Nashi N,Tan JH,Manohara R,Lee WT,Murphy DP

    更新日期:2018-09-01 00:00:00

  • Surgeons save bones: an algorithm for orthopedic surgeons managing secondary fracture prevention.

    abstract::Postmenopausal osteoporosis has a big impact on health care budget worldwide, which are expected to double by 2050. In spite of severe medical and socioeconomic consequences from fragility fractures, there are insufficient efforts in optimizing osteoporotic treatment and prevention. Undertreatment of osteoporosis is a...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-013-1774-x

    authors: Gosch M,Kammerlander C,Roth T,Doshi HK,Gasser RW,Blauth M

    更新日期:2013-08-01 00:00:00

  • Comparative analysis of locking plate versus hook plate osteosynthesis of Neer type IIB lateral clavicle fractures.

    abstract:INTRODUCTION:Controversy exists on optimal operative treatment of vertically unstable Neer IIB lateral clavicle fractures. Aim of this study was to analyse and compare clinical and radiological results and complications of locking plate osteosynthesis (LPO) versus hook plate osteosynthesis (HPO) with acromioclavicular ...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-017-2645-7

    authors: Erdle B,Izadpanah K,Jaeger M,Jensen P,Konstantinidis L,Zwingmann J,Südkamp NP,Maier D

    更新日期:2017-05-01 00:00:00

  • Long-term outcome following high tibial osteotomy with tension bend principle.

    abstract:BACKGROUND:High tibial osteotomy has been successfully performed on patients with varus gonarthrosis for many years now. The prospective study presented here serves to verify the long-term outcome of this procedure. METHODS:A supratuberous high tibial osteotomy was carried out on 100 patients with varus gonarthrosis. ...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-002-0446-z

    authors: Flamme CH,Rühmann O,Schmolke S,Wichmann R

    更新日期:2003-02-01 00:00:00

  • Bipolar hip arthroplasty in ankylosing spondylitis.

    abstract::Nineteen severely affected hips in 12 young patients with ankylosing spondylitis were treated with bipolar hip arthroplasty followed by a comprehensive postoperative rehabilitation programme. Additional operative procedures of adductor tenotomy, knee flexion release, supracondylar femoral osteotomy for genu valgum and...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/BF00573449

    authors: Bhan S,Malhotra R

    更新日期:1996-01-01 00:00:00

  • Influence of humate on calcium hydroxyapatite implants.

    abstract::Implanted bovine apatite is highly osteoconductive, since it serves the host tissue as a "guide-line" for the deposition of newly developing bone tissue. It is well tolerated, but it showed no signs of being resorbed during the course of the experiment. Previous impregnation of the bovine hydroxyapatite with a low mol...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/BF00452964

    authors: Schlickewei W,Riede UN,Yu J,Ziechmann W,Kuner EH,Seubert B

    更新日期:1993-01-01 00:00:00

  • Anatomic basis for a minimally invasive approach to the subtalar joint.

    abstract:INTRODUCTION:An isolated arthrodesis of the talocalcaneonavicular joint is a common indication in cases of pain and post-traumatic arthroses. MATERIALS AND METHODS:Because of the high infection rate after surgery with the lateral incision, the authors decided to evaluate an alternative, minimally invasive procedure. J...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-003-0627-4

    authors: Schmeiser G,Kunze C,Militz M,Bühren V,Putz R

    更新日期:2004-11-01 00:00:00

  • Bimalleolar ankle fracture with proximal fibular fracture.

    abstract::A 56-year-old female patient suffered a bimalleolar ankle fracture with an additional proximal fibular fracture. This is an unusual fracture type, seldom reported in literature. It was operatively treated by open reduction and internal fixation of the lateral malleolar fracture. The proximal fibular fracture was initi...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-005-0035-z

    authors: Colenbrander RJ,Struijs PA,Ultee JM

    更新日期:2005-10-01 00:00:00

  • Sequencing-based detection of drug-resistant Mycobacterium tuberculosis in patients with spinal tuberculosis.

    abstract:INTRODUCTION:Traditionally, bacterial cultures serve as the gold standard for the detection of drug resistance and can provide evidence for directing the treatment of tuberculosis. However, this method has a low positive rate and is time consuming, which significantly limits its wide application. Thus, in the present s...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-012-1506-7

    authors: Si J,Wang Z,Wang Z,Li H

    更新日期:2012-07-01 00:00:00

  • Cervical myelo-radiculopathy in athetoid cerebral palsy.

    abstract::Cervical myelopathy complicating athetoid cerebral palsy has not been adequately highlighted in the literature. We report two cases of patients with athetoid cerebral palsy and long histories of involuntary movements who developed cervical myelo-radiculopathy. Dystonic athetoid neck movements may cause excessive axial...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/BF00434115

    authors: Mikawa Y,Watanabe R,Shikata J

    更新日期:1997-01-01 00:00:00

  • Minimally invasive internal fixator for unstable pelvic ring injuries with a pedicle screw-rod system: a retrospective study of 23 patients after 13.5 months.

    abstract:PURPOSE:Pelvic ring fractures are challenging injuries and require effective treatment due to the frequently compromised patient condition. The aim of this study was to evaluate the outcome of unstable pelvic ring injuries treated with a minimally invasive pedicle screw-rod system. METHODS:Retrospective analysis was p...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-018-3094-7

    authors: Hua X,Yan SG,Cui Y,Yin Z,Schreiner AJ,Schmidutz F

    更新日期:2019-04-01 00:00:00

  • Management of humeral nonunions following failed surgical fixation.

    abstract:INTRODUCTION:Management of humerus nonunions with previously failed fixation presents a complex problem. There are multiple revision fixation strategies, of which compression plating is a mainstay. The aim of this study was to assess the results of open reduction and direct compression plating without the need for auto...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-020-03577-2

    authors: Lee A,Wait T,Shah K,Osadebe U,Kergosien M,Dutta A

    更新日期:2020-10-29 00:00:00

  • Reversed shoulder arthroplasty with inversed bearing materials: 2-year clinical and radiographic results in 101 patients.

    abstract:INTRODUCTION:This study documents 2-year clinical and radiographic results following reversed total shoulder arthroplasty using a novel prosthesis with inverted bearing materials (polyethylene glenoid; metal humeral component). This design was intended to avoid massive PE abrasion on the humeral side. Therefore, we pre...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00402-014-2135-0

    authors: Irlenbusch U,Kääb MJ,Kohut G,Proust J,Reuther F,Joudet T

    更新日期:2015-02-01 00:00:00

  • Measuring acetabular dysplasia in plain radiographs.

    abstract:BACKGROUND:Several radiologic parameters have been used to qualify an acetabular coverage in studies determining whether an association exists between acetabular dysplasia and osteoarthritis of hip. However, it is not known which parameter is optimum for these epidemiologic studies. We evaluate the reliability, validit...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-011-1279-4

    authors: Lee YK,Chung CY,Koo KH,Lee KM,Kwon DG,Park MS

    更新日期:2011-09-01 00:00:00

  • Cement-in-cement revision hip arthroplasty: an analysis of clinical and biomechanical literature.

    abstract:INTRODUCTION:The number of revision hip arthroplasties is increasing but several aspects of this procedure could be improved. One method of reducing intra-operative complications is the cement-in-cement technique. This procedure entails cementing a smaller femoral prosthesis into the existing stable cement mantle. The ...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00402-007-0470-0

    authors: Keeling P,Prendergast PJ,Lennon AB,Kenny PJ

    更新日期:2008-10-01 00:00:00