Mette Renate Andersen1, Frede Frihagen2, Jan Erik Madsen3, Wender Figved4. 1. Department of Orthopaedic Surgery, Baerum Hospital, Drammen, Norway. Electronic address: merean@vestreviken.no. 2. Department of Orthopaedic Surgery, Division of Surgery and Clinical Neuroscience, Oslo University Hospital, Oslo, Norway. Electronic address: frede.frihagen@ous-hf.no. 3. Department of Orthopaedic Surgery, Division of Surgery and Clinical Neuroscience, Oslo University Hospital, Oslo, Norway. Electronic address: j.e.madsen@medisin.uio.no. 4. Department of Orthopaedic Surgery, Baerum Hospital, Drammen, Norway. Electronic address: wender.figved@vestreviken.no.
Abstract
PURPOSE: The aim of this study was to determine the rate of complications after routine syndesmotic screw removal. MATERIALS AND METHODS: All patients who underwent syndesmotic screw removal at our hospital between 2007 and 2012 were included in the study. Patient demographics, surgical characteristics, radiographic evaluation and complications were recorded from the patients' charts. Questionnaires were sent by postal mail to all patients, to measure patient satisfaction and pain (VAS scales). RESULTS: 161 patients were included in the trial. A wound infection was found in 8 (5%) patients. 3 were regarded as serious infections requiring hospitalisation and intravenous antibiotics, 2 of those required surgical revisions. 5 patients were treated by oral antibiotics. Staphylococcus aureus was identified as the causing organism in all (6/8) cases with a positive culture. The patients with postoperative infection reported more pain (5.3 vs. 2.3; p=0.02) and were less satisfied (4.7 vs. 7.6; p=0.014) with their ankle compared to those without infection (T-test for independent samples). CONCLUSION: There were 5% wound infections after routine syndesmotic screw removal. Routine antibiotic prophylaxis effective against S. aureus should be administered when removing syndesmotic screws. In our institution we now use one single dose Cefalotin of 2g intravenously 30-60min before screw removal.
PURPOSE: The aim of this study was to determine the rate of complications after routine syndesmotic screw removal. MATERIALS AND METHODS: All patients who underwent syndesmotic screw removal at our hospital between 2007 and 2012 were included in the study. Patient demographics, surgical characteristics, radiographic evaluation and complications were recorded from the patients' charts. Questionnaires were sent by postal mail to all patients, to measure patient satisfaction and pain (VAS scales). RESULTS: 161 patients were included in the trial. A wound infection was found in 8 (5%) patients. 3 were regarded as serious infections requiring hospitalisation and intravenous antibiotics, 2 of those required surgical revisions. 5 patients were treated by oral antibiotics. Staphylococcus aureus was identified as the causing organism in all (6/8) cases with a positive culture. The patients with postoperative infection reported more pain (5.3 vs. 2.3; p=0.02) and were less satisfied (4.7 vs. 7.6; p=0.014) with their ankle compared to those without infection (T-test for independent samples). CONCLUSION: There were 5% wound infections after routine syndesmotic screw removal. Routine antibiotic prophylaxis effective against S. aureus should be administered when removing syndesmotic screws. In our institution we now use one single dose Cefalotin of 2g intravenously 30-60min before screw removal.
Authors: Manouk Backes; Siem A Dingemans; Marcel G W Dijkgraaf; H Rogier van den Berg; Bart van Dijkman; Jochem M Hoogendoorn; Pieter Joosse; Ewan D Ritchie; W Herbert Roerdink; Judith P M Schots; Nico L Sosef; Ingrid J B Spijkerman; Bas A Twigt; Alexander H van der Veen; Ruben N van Veen; Jefrey Vermeulen; Dagmar I Vos; Jasper Winkelhagen; J Carel Goslings; Tim Schepers Journal: JAMA Date: 2017-12-26 Impact factor: 56.272
Authors: Julian Doll; Stefan Waizenegger; Thomas Bruckner; Gerhard Schmidmaier; Sebastian I Wolf; Christian Fischer Journal: Trials Date: 2020-07-02 Impact factor: 2.279