Pre-Debridement and Post-Debridement Culture in Open Fractures of the Extremities: A Comparative Study
By violation of the underlying soft tissue which promotes contamination
with the external environment, open, compound fractures,
are considered orthopedic emergencies.
A break in the skin and exposure of underlying soft tissue
leads directly to open communication with the open environment
Subsequent treatment of gram-negative bacteria helps to reduce
the bulk of infections.
The rate of injuries and open fracture has increased in the
last few years. According to the literature, about 11.5 per 100,000
people in a year are facing an open fracture.
Five percent (5%) of open fractures cases required specific and early treatment.
Moreover, different complications are faced by the open fracture that
includes bacterial infections, contractures, amputation, neuropathy,
osteomyelitis, and loss of movement.
The growth of microorganisms becomes favorable by the exposed subcutaneous
tissue that provides a warm and favorable environment for the development of infection.
The management of fracture site becomes difficult if an infection occurs
as it results in delayed healing and an extensive treatment of the fracture.
Despite the fact that the management of open fractures has been
studied, a comparative study of pre-post-debridement cultures on
the open fractures through meta-analysis has not been attempted.
This study aims to predict the infection
rate according to time of culture, the effect of pre-debridement
and post-debridement cultures on the open fracture and its effect
on infection, thereby providing added insight in the attempt of
healing the fracture and control of the infection.
This study evaluates the study of comparative impact of pre-debridement and
post-debridement cultures on open fractures.
Orthop Res Traumatol Open J. 2020; 5(1): 9-16. doi: 10.17140/ORTOJ-5-118