Evidence map›Paper›PMID 32935161›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2020

Effect of fracturoscopy on the incidence of surgical site infections post tibial plateau fracture surgery.

Ralf Henkelmann, Matthias Krause, Lena Alm, Richard Glaab, Meinhard Mende, Christopher Ull, Philipp-Johannes Braun, Christoph Katthagen, Tobias J Gensior, Karl-Heinz Frosch and 1 more

Erratum issuedOpen access · hybridAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. [Intra-articular proximal tibia fractures].Unfallchirurgie (Heidelberg, Germany) · 2023
    Article
  5. Review
  6. BMC musculoskeletal disorders · 2022
    Article
  7. Article
  8. Tibial plateau fractures: a lot more to come!European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 9 institutions in 2 countries.

Ralf HenkelmannDepartment of Orthopedics, Trauma and Plastic Surgery, University of Leipzig, Liebigstraße 20, 0410, Leipzig, Germany. ralf.henkelmann@medizin.uni-leipzig.de.ORCID http://orcid.org/0000-0001-5274-1896
Matthias KrauseClinic of Trauma, Hand and Reconstructive Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Lena AlmDivision of Knee and Shoulder Surgery, Department of Trauma and Reconstructive Surgery, Sports Traumatology, Asklepios Klinik St. Georg, Hamburg, Germany.
Richard GlaabDepartment of Traumatology, Cantonal Hospital Aarau, Aarau, Switzerland.
Meinhard MendeCentre for Clinical Trials, University of Leipzig, Leipzig, Germany.
Christopher UllDepartment of General and Trauma Surgery, BG University Hospital Bergmannsheil, Bochum, Germany.
Philipp-Johannes BraunDepartment of Trauma and Orthopaedic Surgery, BG Hospital Unfallkrankenhaus Berlin gGmbH, Berlin, Germany.
Christoph KatthagenDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Münster, Münster, Germany.
Tobias J GensiorClinic for Arthroscopic Surgery, Sports Traumatology and Sports Medicine, BG Clinic, Duisburg, Germany.
Karl-Heinz FroschClinic of Trauma, Hand and Reconstructive Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Pierre HeppDepartment of Orthopedics, Trauma and Plastic Surgery, University of Leipzig, Liebigstraße 20, 0410, Leipzig, Germany.
Universität Hamburg · DEAsklepios Klinik St. Georg · DEBG University Hospital Bergmannsheil Bochum · DEKantonsspital Aarau · CHLeipzig University · DEOrthopädische Praxis · DEUnfallkrankenhaus Berlin · DEUniversity Hospital Leipzig · DEUniversity Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSurgical treatment of tibial plateau fracture (TPF) is common. Surgical site infections (SSI) are among the most serious complications of TPF. This multicentre study aimed to evaluate the effect of fracturoscopy on the incidence of surgical site infections in patients with TPF.

methodsWe performed a retrospective multicentre study. All patients with an AO/OTA 41 B and C TPF from January 2005 to December 2014 were included. Patients were divided into three groups: those who underwent arthroscopic reduction and internal fixation (ARIF), and those who underwent open reduction and internal fixation (ORIF) with fracturoscopy, and those treated with ORIF without fracturoscopy. The groups were compared to assess the effect of fracturoscopy. We characterised our cohort and the subgroups using descriptive statistics. Furthermore, we fitted a logistic regression model which was reduced and simplified by a selection procedure (both directions) using the Akaike information criterion (AIC). From the final model, odds ratios and inclusive 95% confidence intervals were calculated.

resultsOverall, 52 patients who underwent fracturoscopy, 48 patients who underwent ARIF, and 2000 patients treated with ORIF were identified. The rate of SSI was 0% (0/48) in the ARIF group and 1.9% (1/52) in the fracturoscopy group compared to 4.7% (93/2000) in the ORIF group (OR = 0.40, p = 0.37). Regression analyses indicated a potential positive effect of fracturoscopy (OR, 0.65; 95% CI, 0.07-5.68; p = 0.69).

conclusionOur study shows that fracturoscopy is associated with reduced rates of SSI. Further studies with larger cohorts are needed to investigate this. LEVEL OF EVIDENCE: Level III.

Indexed as

AdolescentAdultAgedAged, 80 and overArthroscopyFemaleFracture Fixation, InternalGermanyHumansIncidenceKnee JointMaleMiddle AgedOpen Fracture ReductionRetrospective StudiesSurgical Wound InfectionARIFFracturoscopyORIFPostoperative infectionSurgical site infectionTibial plateau fracture

Identifiers

PMID32935161
PMCPMC7691298
OpenAlexW3085215101

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.