A1 Refereed original research article in a scientific journal
Antibiotic prophylaxis in surgery for closed fracture of the hand
Authors: Lidauer, Kristian; Helenius, Ilkka; Pääkkönen, Markus
Publisher: Elsevier Masson s.r.l.
Publication year: 2024
Journal: Hand Surgery and Rehabilitation
Journal name in source: Hand Surgery and Rehabilitation
Article number: 101753
Volume: 43
Issue: 4
eISSN: 2468-1210
DOI: https://doi.org/10.1016/j.hansur.2024.101753
Web address : https://doi.org/10.1016/j.hansur.2024.101753
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/457574093
Purpose: Preoperative antibiotic prophylaxis is associated to internal fixation for closed phalangeal and metacarpal fracture, but its effectiveness is not known.
Methods: In a consecutive series of 119 adult patients undergoing Kirschner-wire fixation for phalangeal or metacarpal fracture, 56.3% (n = 67) received antibiotic prophylaxis and 43.7% (n = 52) did not.
Results: The rate of deep surgical site infection was 1.5% (n = 1) in the group with antibiotic prophylaxis and 1.9% (n = 1) in the group without. Minor skin irritation or infection of the pin tract occurred in 13.4% of cases (n = 9) in the group with antibiotic prophylaxis and 9.6% (n = 5) in the group without.
Conclusion: Our findings suggest that use of antibiotic prophylaxis could be reduced in the treatment of closed fractures of the hand treated with removable pins. Type of study/level of evidence: Therapeutic IV (retrospective review).
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Funding information in the publication:
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
