Thorac Cardiovasc Surg 2020; 68(04): 357-360
DOI: 10.1055/s-0039-3401043
Short Communication
Georg Thieme Verlag KG Stuttgart · New York

A Single-Center Experience of Osteosynthesis Material Infection after Rib Fixation for Blunt Trauma

Apostolos C. Agrafiotis
1   Department of Thoracic Surgery, Tenon University Hospital, Paris, France
,
Harry Etienne
1   Department of Thoracic Surgery, Tenon University Hospital, Paris, France
,
Marielle Le Roux
1   Department of Thoracic Surgery, Tenon University Hospital, Paris, France
,
Lucia Mazzoni
1   Department of Thoracic Surgery, Tenon University Hospital, Paris, France
,
Mihaela Giol
1   Department of Thoracic Surgery, Tenon University Hospital, Paris, France
,
Denis Debrosse
1   Department of Thoracic Surgery, Tenon University Hospital, Paris, France
,
Jalal Assouad
1   Department of Thoracic Surgery, Tenon University Hospital, Paris, France
› Author Affiliations
Further Information

Publication History

11 May 2019

30 October 2019

Publication Date:
31 January 2020 (online)

Abstract

Introduction There is no data regarding the incidence and treatment of deep infection affecting the surgical implants after rib fixation. The aim of this study is to share our experience in the management of infected material after surgical rib fixation.

Methods The medical records of operated patients from January 2012 to December 2018 were retrospectively analyzed.

Results Three patients out of 87 (3.44%) developed an infection. One patient was treated conservatively and two patients were operated for hardware removal.

Conclusions The lack of evidence prompts for the design of surgical databases to share experience and enhance available data.

 
  • References

  • 1 Thiels CA, Aho JM, Naik ND. , et al. Infected hardware after surgical stabilization of rib fractures: outcomes and management experience. J Trauma Acute Care Surg 2016; 80 (05) 819-823
  • 2 Shulzhenko NO, Zens TJ, Beems MV. , et al. Number of rib fractures thresholds independently predict worse outcomes in older patients with blunt trauma. Surgery 2017; 161 (04) 1083-1089
  • 3 Sirmali M, Türüt H, Topçu S. , et al. A comprehensive analysis of traumatic rib fractures: morbidity, mortality and management. Eur J Cardiothorac Surg 2003; 24 (01) 133-138
  • 4 Wiese MN, Kawel-Boehm N, Moreno de la Santa P. , et al. Functional results after chest wall stabilization with a new screwless fixation device. Eur J Cardiothorac Surg 2015; 47 (05) 868-875
  • 5 Lu M, Hansen EN. Hydrogen peroxide wound irrigation in orthopaedic surgery. J Bone Jt Infect 2017; 2 (01) 3-9
  • 6 Haseeb M, Butt MF, Altaf T, Muzaffar K, Gupta A, Jallu A. Indications of implant removal: a study of 83 cases. Int J Health Sci (Qassim) 2017; 11 (01) 1-7
  • 7 Trampuz A, Widmer AF. Infections associated with orthopedic implants. Curr Opin Infect Dis 2006; 19 (04) 349-356
  • 8 Dobran M, Mancini F, Nasi D, Scerrati M. A case of deep infection after instrumentation in dorsal spinal surgery: the management with antibiotics and negative wound pressure without removal of fixation. BMJ Case Rep 2017; 2017: 2017
  • 9 Granetzny A, Abd El-Aal M, Emam E, Shalaby A, Boseila A. Surgical versus conservative treatment of flail chest. Evaluation of the pulmonary status. Interact Cardiovasc Thorac Surg 2005; 4 (06) 583-587
  • 10 Junker MS, Kurjatko A, Hernandez MC, Heller SF, Kim BD, Schiller HJ. Salvage of rib stabilization hardware with antibiotic beads. Am J Surg 2019; 218 (05) 869-875