ArticleHSS journal : the musculoskeletal journal of Hospital for Special Surgery2017
Prophylactic Postoperative Antibiotics May Not Reduce Pin Site Infections After External Fixation.
Article in HSS journal : the musculoskeletal journal of Hospital for Special Surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 23 citations in OpenAlex.
- Is fracture management merely a physical process? Exploring the psychological effects of internal and external fixation.Journal of orthopaedic surgery and research · 2024Article
- Highly Adhesive Antimicrobial Coatings for External Fixation Devices.Gels (Basel, Switzerland) · 2023Article
- Unexpected positive intraoperative cultures (UPIC) at index osseointegration do not lead to increased postoperative infectious events.Journal of bone and joint infection · 2022Article
- Ankle distraction arthroplasty (ADA): A brief review and technical pearls.Journal of clinical orthopaedics and trauma · 2022Article
- INTERFERENCE OF EXTERNAL DAMAGE CONTROL FIXATION IN DEFINITIVE OSTEOSYNTHESIS.Acta ortopedica brasileira · 2022Article
- Reduction of pin tract infections during external fixation using cadexomer iodine.Journal of experimental orthopaedics · 2020Article
- A Comparison of Femoral Lengthening Methods Favors the Magnetic Internal Lengthening Nail When Compared with Lengthening Over a Nail.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2018Article
- Intrarater Reliability of Digital Thermography in Detecting Pin Site Infection: A Proof of Concept Study.Strategies in trauma and limb reconstructionArticle
- Trends and Practices in Limb Lengthening: An 11-year US Database Study.Strategies in trauma and limb reconstructionArticle
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPin infection continues to be a nuisance when using definitive external fixation. Prophylactic antibiotic treatment has been proposed in an effort to decrease pin complications. QUESTIONS/PURPOSES: We performed a prospective, randomized, single-blinded study to answer the following questions: (1) what was the effect of a 10-day course of oral prophylactic antibiotics administered immediately after external fixation surgery on the incidence of a subsequent pin infection, (2) what was the effect on the severity of a subsequent pin infection, and (3) what was the effect on the timing of a subsequent pin infection?
methodsPatients were randomized into antibiotic treatment and control groups, and incidence, severity, and time of onset of pin infection were recorded.
resultsThe incidence of pin infection for the entire cohort during the 90-day observation period was 46/58 (79%) without a statistically significant difference (
conclusionsOur randomized data do not suggest that oral antibiotics alter the incidence, timing, or severity of pin infection. This study does not support the use of prophylactic oral antibiotics in healthy patients.
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