ArticleClinical orthopaedics and related research2016
What Factors are Associated With a Surgical Site Infection After Operative Treatment of an Elbow Fracture?
Article in Clinical orthopaedics and related research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Risk factors for surgical site infections after orthopaedic surgery: A meta-analysis and systematic review.International wound journal · 2025Pooled it
- Predicting deep infection in pilon and tibial plateau fractures: a secondary analysis of the VANCO and OXYGEN trials.OTA international : the open access journal of orthopaedic trauma · 2024Article
- Analysis of the associated factors in postoperative wound infection following open reduction and internal fixation for elbow fracture.International wound journal · 2024Article
- Weak Points of Double-Plate Stabilization Used in the Treatment of Distal Humerus Fracture through Finite Element Analysis.Journal of clinical medicine · 2024Article
- The role of preoperative glycemic control in decreasing surgical site infections in lower extremity fractures.Journal of orthopaedic surgery and research · 2023Article
- [Clinical results of total elbow arthroplasty after treatment failure for Monteggia-like injuries].Unfallchirurgie (Heidelberg, Germany) · 2023Article
- Sterility of Miniature C-arm Fluoroscopy in Hand and Upper Extremity Surgery.Journal of hand and microsurgery · 2022Article
- Fracture, nonunion and postoperative infection risk in the smoking orthopaedic patient: a systematic review and meta-analysis.EFORT open reviews · 2021Review
- Factors Associated With Reoperation After Silicone Proximal Interphalangeal Joint Arthroplasty.Hand (New York, N.Y.) · 2021Article
- A Comparison of 30-Day Perioperative Complications for Open Operative Care of Distal Upper-Extremity Fractures Treated by Orthopedic Versus Plastic Surgeons: A Study of the National Surgical Quality Improvement (NSQIP) Database.Journal of hand surgery global online · 2020Article
- Standardized practice is associated with low rate of surgical site infection in orthopaedic trauma.Journal of clinical orthopaedics and trauma · 2019Article
- Cessation from Smoking Improves Innate Host Defense and Clearance of Experimentally Inoculated Nasal Staphylococcus aureus.Infection and immunity · 2018Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurgical site infections are one of the more common major complications of elbow fracture surgery and can contribute to other adverse outcomes, prolonged hospital stays, and increased healthcare costs. QUESTIONS/PURPOSES: We asked: (1) What are the factors associated with a surgical site infection after elbow fracture surgery? (2) When taking the subset of closed elbow fractures only, what are the factors associated with a surgical site infection? (3) What are the common organisms isolated from an elbow infection after open treatment?
methodsOne thousand three hundred twenty adult patients underwent surgery for an elbow fracture between January 2002 and July 2014 and were included in our study. Forty-eight of 1320 patients (4%) had a surgical site infection develop. Thirty-four of 1113 patients with a closed fracture (3%) had a surgical site infection develop.
resultsFor all elbow fractures, use of plate and screw fixation (adjusted odds ratio [OR]= 2.2; 95% CI, 1.0-4.5; p = 0.041) and use of external fixation before surgery (adjusted OR = 4.7; 95% CI, 1.1-21; p = 0.035) were associated with higher infection rates. When subset analysis was performed for closed fractures, only smoking (adjusted OR = 2.2; 95% CI, 1.1-4.5; p = 0.023) was associated with higher infection rates. Staphylococcus aureus was the most common bacteria cultured (59%).
conclusionsThe only modifiable risk factor for a surgical site infection after open reduction and internal fixation was cigarette smoking. Plate fixation and temporary external fixation are likely surrogates for more complex injuries, therefore no recommendations should be inferred from this association. Surgeons should counsel patients who smoke. LEVEL OF EVIDENCE: Level IV, prognostic study.
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