| Wound irrigation in musculoskeletal injury. | |
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MedLine Citation:
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PMID: 11476531 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Wound irrigation to remove debris and lessen bacterial contamination is an essential component of open fracture care. However, considerable practice variation exists in the details of technique. Volume is an important factor; increased volume improves wound cleansing to a point, but the optimal volume is unknown. High-pressure flow has been shown to remove more bacteria and debris and to lower the rate of wound infection compared with low-pressure irrigation, although recent in vitro and animal studies suggest that it may also damage bone. Pulsatile flow has not been demonstrated to increase efficacy. Antiseptic additives can kill bacteria in the wound, but host-tissue toxicities limit their use. Animal and clinical studies of the use of antiseptics in contaminated wounds have yielded conflicting outcomes. Antibiotic irrigation has been effective in experimental studies in some types of animal wounds, but human clinical data are unconvincing due to poor study design. There are few animal or clinical studies of musculoskeletal wounds. Detergent irrigation aims to remove, rather than kill, bacteria and has shown promise in animal models of the complex contaminated musculoskeletal wound. |
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Authors:
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J O Anglen |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: The Journal of the American Academy of Orthopaedic Surgeons Volume: 9 ISSN: 1067-151X ISO Abbreviation: J Am Acad Orthop Surg Publication Date: 2001 Jul-Aug |
Date Detail:
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Created Date: 2001-07-30 Completed Date: 2001-10-11 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 9417468 Medline TA: J Am Acad Orthop Surg Country: United States |
Other Details:
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Languages: eng Pagination: 219-26 Citation Subset: IM |
Affiliation:
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Orthopaedic Surgery, University of Missouri-Columbia, Columbia 65212, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Animals Anti-Bacterial Agents / administration & dosage, adverse effects Anti-Infective Agents, Local / administration & dosage, contraindications Bacterial Infections / prevention & control Drug Delivery Systems Fractures, Open / surgery* Humans Irrigation* / adverse effects, instrumentation, methods Surface-Active Agents / administration & dosage Wound Infection / prevention & control |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents; 0/Anti-Infective Agents, Local; 0/Surface-Active Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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