Course of treatment and rate of successful salvage following the diagnosis of deep infection in patients treated for pilon fractures (AO/OTA: 43).
retrospective_cohort · Level III
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- Record sourced from PubMed, PMID 26719624.
- Also identified by DOI 10.1016/j.jor.2015.01.023 and PMC identifier 4674544.
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Abstract
The purpose of this study is to report the rate of successful salvage and describe typical treatment course for patients with infected pilon fractures. This investigation was performed after gathering a Six-year retrospective database from a single academic trauma center including patients with pilon fractures diagnosed with post-operative deep infection. These include a rate of successful salvage in patients diagnosed with deep infection of 88.5% (46/52). Patients who were successfully salvaged required an average of 3.5 (±2.3) procedures following diagnosis of infection, 2.5 (±1.5) debridements and 1.1 (±1.2) reconstructive procedures. Considerable morbidity follows the diagnosis of deep infection, with 14% of patients ultimately treated with amputation. Successful salvage can be reliably anticipated in over 80% of patients, but typically requires more than 3 additional procedures.