Hip Pelvis.  2017 Sep;29(3):176-181. 10.5371/hp.2017.29.3.176.

Surgical Site Infection Following Fixation of Acetabular Fractures

• Iqbal F
• Younus S
• Asmatullah
• Zia OB
• Khan N

• KMID: 2389523
• DOI: http://doi.org/10.5371/hp.2017.29.3.176

Abstract

PURPOSE
Acetabular fractures are mainly caused by high energy trauma. Surgical fixation of these fractures requires extensive surgical exposure which increases the length of operation and blood loss as well. This may increase the risk of surgical site infection. Our aim is to evaluate the prevalence of surgical site infections and the risk factors associated with it so as to minimize its chances.
MATERIALS AND METHODS
A total of 261 patients who underwent acetabular fracture surgery were retrospectively reviewed. Patients were divided into 2 groups, with or without surgical site infection. Factors examined include patients' gender, age, body mass index (BMI), time between injury and surgery, operative time, estimated blood loss, number of packed red blood cell transfused, length of total intensive care unit (ICU) stay, fracture type, surgical approach, smoking status, patients' comorbids and associated injuries.
RESULTS
Fourteen patients (5.4%) developed surgical site infection. Out of 14 infections, 4 were superficial and 10 were deep. The factors that were found to be associated with surgical site infection following acetabular fracture fixation were prolonged operation time, increased BMI, prolonged ICU stay, larger amount of packed red blood cell transfused and associated genitourinary and abdominal trauma.
CONCLUSION
In our study, we conclude that measures should be undertaken to attenuate the chances of surgical site infection in this major surgery by considering the risk factors significantly associated with it.

Keyword

Acetabular fractures; Surgical site infection; Risk factors

MeSH Terms

Acetabulum*
Body Mass Index
Erythrocytes
Fracture Fixation
Humans
Intensive Care Units
Operative Time
Prevalence
Retrospective Studies
Risk Factors
Smoke
Smoking
Surgical Wound Infection*
Smoke

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