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Infections associated with locking reconstruction plates: A retrospective review

Identifieur interne : 000599 ( PascalFrancis/Corpus ); précédent : 000598; suivant : 000600

Infections associated with locking reconstruction plates: A retrospective review

Auteurs : David Kirkpatrick ; Rahul Gandhi ; Joseph E. Van Sickels

Source :

RBID : Pascal:03-0263548

Descripteurs français

English descriptors

Abstract

Purpose: In this study, we examined the incidence of infection with the use of a locking reconstruction bone plate/system. Patients and Methods: All patients, treated with a locking reconstruction bone plate/screw system for mandible fractures in the Oral and Maxillofacial Surgery service over a 28-month period at a level I trauma center, were evaluated through a retrospective chart review by independent examiners. The use of a locking reconstruction plate was determined by the attending staff involved in the patient's care. Patient population included single, bilateral, and comminuted fractures. Patient characteristics were noted and include dentate versus edentulous, smoking history, and history of previous infection. Results: Fifty-six locking bone plates were placed in 42 patients. Eight (19%) of the patients were infected before treatment. A persistent infection remained in 3 of these 8 patients (37.5%). Two patients (5.8%), with 3 fracture sites (6.4%) developed postoperative infection that required further intervention. All 5 of the patients who were infected after surgery were heavy smokers. History of preoperative infection and smoking appear to be significant factors in the etiology of postoperative infection. All postoperative infections resolved successfully with local measures and with no loss of fixation. Conclusion: The use of locking reconstruction plates can facilitate the management of complicated fractures; however, it does not eliminate complications. Postoperative infections are related to numerous factors, including preoperative incidence of infection, smoking, and proper use of the plates.

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Pour connaître la documentation sur le format Inist Standard.

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A08 01  1  ENG  @1 Infections associated with locking reconstruction plates: A retrospective review
A11 01  1    @1 KIRKPATRICK (David)
A11 02  1    @1 GANDHI (Rahul)
A11 03  1    @1 VAN SICKELS (Joseph E.)
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C01 01    ENG  @0 Purpose: In this study, we examined the incidence of infection with the use of a locking reconstruction bone plate/system. Patients and Methods: All patients, treated with a locking reconstruction bone plate/screw system for mandible fractures in the Oral and Maxillofacial Surgery service over a 28-month period at a level I trauma center, were evaluated through a retrospective chart review by independent examiners. The use of a locking reconstruction plate was determined by the attending staff involved in the patient's care. Patient population included single, bilateral, and comminuted fractures. Patient characteristics were noted and include dentate versus edentulous, smoking history, and history of previous infection. Results: Fifty-six locking bone plates were placed in 42 patients. Eight (19%) of the patients were infected before treatment. A persistent infection remained in 3 of these 8 patients (37.5%). Two patients (5.8%), with 3 fracture sites (6.4%) developed postoperative infection that required further intervention. All 5 of the patients who were infected after surgery were heavy smokers. History of preoperative infection and smoking appear to be significant factors in the etiology of postoperative infection. All postoperative infections resolved successfully with local measures and with no loss of fixation. Conclusion: The use of locking reconstruction plates can facilitate the management of complicated fractures; however, it does not eliminate complications. Postoperative infections are related to numerous factors, including preoperative incidence of infection, smoking, and proper use of the plates.
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Format Inist (serveur)

NO : PASCAL 03-0263548 INIST
ET : Infections associated with locking reconstruction plates: A retrospective review
AU : KIRKPATRICK (David); GANDHI (Rahul); VAN SICKELS (Joseph E.)
AF : University of Kentucky/Lexington, KY/Etats-Unis (1 aut., 2 aut., 3 aut.)
DT : Publication en série; Niveau analytique
SO : Journal of oral and maxillofacial surgery; ISSN 0278-2391; Coden JOMSDA; Etats-Unis; Da. 2003; Vol. 61; No. 4; Pp. 462-466; Bibl. 20 ref.
LA : Anglais
EA : Purpose: In this study, we examined the incidence of infection with the use of a locking reconstruction bone plate/system. Patients and Methods: All patients, treated with a locking reconstruction bone plate/screw system for mandible fractures in the Oral and Maxillofacial Surgery service over a 28-month period at a level I trauma center, were evaluated through a retrospective chart review by independent examiners. The use of a locking reconstruction plate was determined by the attending staff involved in the patient's care. Patient population included single, bilateral, and comminuted fractures. Patient characteristics were noted and include dentate versus edentulous, smoking history, and history of previous infection. Results: Fifty-six locking bone plates were placed in 42 patients. Eight (19%) of the patients were infected before treatment. A persistent infection remained in 3 of these 8 patients (37.5%). Two patients (5.8%), with 3 fracture sites (6.4%) developed postoperative infection that required further intervention. All 5 of the patients who were infected after surgery were heavy smokers. History of preoperative infection and smoking appear to be significant factors in the etiology of postoperative infection. All postoperative infections resolved successfully with local measures and with no loss of fixation. Conclusion: The use of locking reconstruction plates can facilitate the management of complicated fractures; however, it does not eliminate complications. Postoperative infections are related to numerous factors, including preoperative incidence of infection, smoking, and proper use of the plates.
CC : 002B25C02; 002B16D
FD : Fracture; Mandibule; Traitement; Ostéosynthèse; Vis plaque; Evaluation performance; Technique; Reconstruction anatomique; Biomatériau; Radiographie panoramique; Exploration; Efficacité traitement; Epidémiologie; Incidence; Complication; Infection; Homme; Etats Unis
FG : Amérique du Nord; Amérique; Système ostéoarticulaire pathologie; Stomatologie; Maxillaire pathologie; Traumatisme; ORL pathologie; Chirurgie; Génie biomédical; Radiodiagnostic; Imagerie médicale; Santé publique
ED : Fracture; Mandible; Treatment; Osteosynthesis; Screw plate; Performance evaluation; Technique; Anatomical reconstruction; Biomaterial; Panoramic radiography; Exploration; Treatment efficiency; Epidemiology; Incidence; Complication; Infection; Human; United States
EG : North America; America; Diseases of the osteoarticular system; Stomatology; Maxillary disease; Trauma; ENT disease; Surgery; Biomedical engineering; Radiodiagnosis; Medical imagery; Public health
SD : Fractura; Mandíbula; Tratamiento; Osteosíntesis; Tornillo placa; Evaluación prestación; Técnica; Reconstrucción anatómica; Biomaterial; Radiografía panorámica; Exploración; Eficacia tratamiento; Epidemiología; Incidencia; Complicación; Infección; Hombre; Estados Unidos
LO : INIST-3005.354000119364580100
ID : 03-0263548

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Pascal:03-0263548

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<s5>37</s5>
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<s5>38</s5>
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<s5>38</s5>
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<s5>39</s5>
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<s5>39</s5>
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<s5>40</s5>
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<s5>45</s5>
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<s5>53</s5>
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<s5>53</s5>
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<s5>53</s5>
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<s5>61</s5>
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<s5>61</s5>
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<s5>61</s5>
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<s5>62</s5>
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<s5>62</s5>
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<s5>62</s5>
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<s5>69</s5>
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<server>
<NO>PASCAL 03-0263548 INIST</NO>
<ET>Infections associated with locking reconstruction plates: A retrospective review</ET>
<AU>KIRKPATRICK (David); GANDHI (Rahul); VAN SICKELS (Joseph E.)</AU>
<AF>University of Kentucky/Lexington, KY/Etats-Unis (1 aut., 2 aut., 3 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of oral and maxillofacial surgery; ISSN 0278-2391; Coden JOMSDA; Etats-Unis; Da. 2003; Vol. 61; No. 4; Pp. 462-466; Bibl. 20 ref.</SO>
<LA>Anglais</LA>
<EA>Purpose: In this study, we examined the incidence of infection with the use of a locking reconstruction bone plate/system. Patients and Methods: All patients, treated with a locking reconstruction bone plate/screw system for mandible fractures in the Oral and Maxillofacial Surgery service over a 28-month period at a level I trauma center, were evaluated through a retrospective chart review by independent examiners. The use of a locking reconstruction plate was determined by the attending staff involved in the patient's care. Patient population included single, bilateral, and comminuted fractures. Patient characteristics were noted and include dentate versus edentulous, smoking history, and history of previous infection. Results: Fifty-six locking bone plates were placed in 42 patients. Eight (19%) of the patients were infected before treatment. A persistent infection remained in 3 of these 8 patients (37.5%). Two patients (5.8%), with 3 fracture sites (6.4%) developed postoperative infection that required further intervention. All 5 of the patients who were infected after surgery were heavy smokers. History of preoperative infection and smoking appear to be significant factors in the etiology of postoperative infection. All postoperative infections resolved successfully with local measures and with no loss of fixation. Conclusion: The use of locking reconstruction plates can facilitate the management of complicated fractures; however, it does not eliminate complications. Postoperative infections are related to numerous factors, including preoperative incidence of infection, smoking, and proper use of the plates.</EA>
<CC>002B25C02; 002B16D</CC>
<FD>Fracture; Mandibule; Traitement; Ostéosynthèse; Vis plaque; Evaluation performance; Technique; Reconstruction anatomique; Biomatériau; Radiographie panoramique; Exploration; Efficacité traitement; Epidémiologie; Incidence; Complication; Infection; Homme; Etats Unis</FD>
<FG>Amérique du Nord; Amérique; Système ostéoarticulaire pathologie; Stomatologie; Maxillaire pathologie; Traumatisme; ORL pathologie; Chirurgie; Génie biomédical; Radiodiagnostic; Imagerie médicale; Santé publique</FG>
<ED>Fracture; Mandible; Treatment; Osteosynthesis; Screw plate; Performance evaluation; Technique; Anatomical reconstruction; Biomaterial; Panoramic radiography; Exploration; Treatment efficiency; Epidemiology; Incidence; Complication; Infection; Human; United States</ED>
<EG>North America; America; Diseases of the osteoarticular system; Stomatology; Maxillary disease; Trauma; ENT disease; Surgery; Biomedical engineering; Radiodiagnosis; Medical imagery; Public health</EG>
<SD>Fractura; Mandíbula; Tratamiento; Osteosíntesis; Tornillo placa; Evaluación prestación; Técnica; Reconstrucción anatómica; Biomaterial; Radiografía panorámica; Exploración; Eficacia tratamiento; Epidemiología; Incidencia; Complicación; Infección; Hombre; Estados Unidos</SD>
<LO>INIST-3005.354000119364580100</LO>
<ID>03-0263548</ID>
</server>
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