J Korean Fract Soc.  2023 Oct;36(4):139-147. 10.12671/jkfs.2023.36.4.139.

Fracture-Related Complications: What You Can Do to Prevent Infection

• Chung H
• Lee JW
• Lee SH
• Sohn HS

• KMID: 2547298
• DOI: http://doi.org/10.12671/jkfs.2023.36.4.139

Abstract

Fracture-related infections (FRI) can occur when bacteria enter the wound during a traumatic injury. All efforts should be made to prevent FRI-associated complications due to the complexity of treatment at the time of onset and poor treatment outcomes. The risk factors for FRIs vary and several preoperative, perioperative, and postoperative measures can be implemented to prevent infections. Preoperative measures include blood sugar control, nutritional support, discontinuation of steroids and immunosuppressants, treatment of accompanying pre-existing infections, and decolonization of pathogens, specifically Staphylococcus aureus. The perioperative and postoperative measures include the use of prophylactic antibiotics, proper surgical site preparation (hair removal, preoperative washing, skin antisepsis), suitable surgical environment (operating room ventilation system, behavioral interventions in the operating room), correct surgical techniques (debridement, irrigation, wound closure, and negative pressure wound therapy). All medical staff should pay careful attention and ensure the implementation of the correct preventive measures.

Keyword

Fracture; Complication; Infection; Preventive care