| Orthopedic infections in equine long bone fractures and arthrodeses treated by internal fixation: 192 cases (1990-2006). | |
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MedLine Citation:
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PMID: 20459481 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine the rate of postoperative infection (POI) for internal fixation repaired equine long bone fractures and arthrodeses and identify associated risk factors. STUDY DESIGN: Case series. ANIMALS: Horses (n=192) with fracture repair of the third metacarpal and metatarsal bones, radius, ulna, humerus, tibia, and femur, or arthrodesis with internal fixation. METHODS: Medical records (1990-2006) were reviewed for signalment, anatomic location, fracture classification and method of repair, technique and surgical duration, bacterial species isolated, postoperative care, onset of POI, and outcome. RESULTS: Of 192 horses (171 [89%] closed, 21 [11%] open fractures), 157 (82%) were discharged from the hospital. Infection occurred in 53 (28% horses), of which 31 (59%) were discharged. Repairs without POI were 7.25 times more likely to be discharged from the hospital. Closed fractures were 4.23 times more likely to remain uninfected and 4.59 times more likely to be discharged from the hospital compared with open fractures. Closed reduction and internal fixation was associated with a 2.5-fold reduction in rate of POI and a 5.9 times greater chance for discharge from the hospital compared with open reduction and internal fixation. Females had a strong trend for increased POI when compared with colts and stallion but not geldings. CONCLUSIONS: Overall rate of POI was 28%. Fracture classification, method of repair, gender, and surgical duration were significant risk factors. |
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Authors:
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Benjamin J Ahern; Dean W Richardson; Raymond C Boston; Thomas P Schaer |
Publication Detail:
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Type: Journal Article Date: 2010-04-29 |
Journal Detail:
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Title: Veterinary surgery : VS Volume: 39 ISSN: 1532-950X ISO Abbreviation: Vet Surg Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-19 Completed Date: 2010-11-02 Revised Date: 2011-04-25 |
Medline Journal Info:
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Nlm Unique ID: 8113214 Medline TA: Vet Surg Country: United States |
Other Details:
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Languages: eng Pagination: 588-93 Citation Subset: IM |
Affiliation:
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Department of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA 19348, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Animals Arthrodesis / adverse effects, veterinary* Bone Plates / adverse effects, veterinary Female Fracture Fixation, Internal / adverse effects, veterinary* Fractures, Bone / complications, surgery, veterinary* Fractures, Closed / surgery, veterinary Fractures, Open / surgery, veterinary Horse Diseases / microbiology, surgery* Horses / surgery Humans Male Risk Factors Surgical Wound Infection / etiology, veterinary* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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