Evidence map›Paper›PMID 37989870›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024

Incisional negative pressure wound therapy may not protect against post-operative surgical site complications in bicondylar tibial plateau fractures.

Taylor R Johnson, Yousi A Oquendo, Ryan Seltzer, Noelle L Van Rysselberghe, Julius A Bishop, Michael J Gardner

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Taylor R JohnsonDepartment of Orthopaedic Surgery, Stanford University, 450 Broadway, Redwood City, CA, 94063, USA. johntr@Stanford.edu.ORCID http://orcid.org/0009-0001-7839-4375
Yousi A OquendoDepartment of Orthopaedic Surgery, Stanford University, 450 Broadway, Redwood City, CA, 94063, USA.
Ryan SeltzerDepartment of Orthopaedic Surgery, Stanford University, 450 Broadway, Redwood City, CA, 94063, USA.
Noelle L Van RysselbergheDepartment of Orthopaedic Surgery, Stanford University, 450 Broadway, Redwood City, CA, 94063, USA.
Julius A BishopDepartment of Orthopaedic Surgery, Stanford University, 450 Broadway, Redwood City, CA, 94063, USA.
Michael J GardnerDepartment of Orthopaedic Surgery, Stanford University, 450 Broadway, Redwood City, CA, 94063, USA.
Stanford University · USStanford Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine if incisional negative pressure wound therapy is protective against post-operative surgical site complications following definitive fixation of bicondylar tibial plateau fractures.

methodsA retrospective analysis of patients diagnosed with an acute bicondylar tibial plateau fracture (AO/OTA 41-C) undergoing ORIF from 2010 to 2020 was performed. Patients received either a standard sterile dressing (SD) or incisional negative pressure wound therapy (iNPWT). Primary outcomes included surgical site infection, osteomyelitis, and wound dehiscence. Secondary outcomes included non-union and return to the operating room. Multivariate logistic regression analyses were performed.

results180 patients were included and 22% received iNPWT (n = 40) and 78% received standard dressings (n = 140). iNPWT was more common in active smokers (24.7% vs. 19.3%, p = 0.002) and the SD group was more likely to be lost to follow up (3.6% vs. 0%, p = 0.025). iNPWT was not protective against infection or surgical site complications, and in fact, was associated with higher odds of post-operative infection (OR: 8.96, p = 0.005) and surgical site complications (OR:4.874, p = 0.009) overall. Alcohol abuse (OR: 19, p = 0.005), tobacco use (OR: 4.67, p = 0.009), and time to definitive surgery (OR = 1.21, p = 0.033) were all independent risk factors for post-operative infection.

conclusionIn this series of operatively treated bicondylar tibial plateau fractures, iNPWT did not protect against post-operative surgical site complications compared to conventional dressings. Tobacco use, alcohol abuse, and time to definitive surgery, were independent risk factors for post-operative infection. Further studies are needed to determine if iNPWT offers a protective benefit in exclusively high-risk patients with relevant medical and social history.

Indexed as

AlcoholismNegative-Pressure Wound TherapyTibial FracturesTibial Plateau FracturesFracture Fixation, InternalHumansRetrospective StudiesSurgical Wound InfectionLower extremity fractureNegative pressure wound therapyNon-unionOsteomyelitisSurgical Site InfectionTibial Plateau fracture

Identifiers

PMID37989870
OpenAlexW4388899199

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Registered trials

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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.