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Irish Journal of Medical Science

, Volume 182, Issue 3, pp 453–456 | Cite as

Risk factors for surgical site infection following operative ankle fracture fixation

  • E. G. Kelly
  • J. P. Cashman
  • P. J. Groarke
  • S. F. Morris
Original Article

Abstract

Background

Ankle fracture is a common injury and there is an increasingly greater emphasis on operative fixation.

Aim

The purpose of the study was to determine the complication rate in this cohort of patients and, in doing so, determine risk factors which predispose to surgical site infection.

Methods

A prospective cohort study was performed at a tertiary referral trauma center examining risk factors for surgical site infection in operatively treated ankle fractures.

Results

Univariate and multivariate analysis was performed. Female gender and advancing age were determined to be the risk factors in univariate analysis. Drain usage and peri-operative pyrexia were found to be significant for infection in multivariate analysis.

Conclusion

This study allows surgeons to identify those at increased risk of infection and counsel them appropriately. It also allows for a high level of vigilance with regard to soft tissue handling intra-operatively in this higher risk group.

Keywords

Ankle Fracture  Infection Risk factors Open reduction internal fixation 

Notes

Conflict of interest

None.

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Copyright information

© Royal Academy of Medicine in Ireland 2013

Authors and Affiliations

  • E. G. Kelly
    • 1
  • J. P. Cashman
    • 1
  • P. J. Groarke
    • 1
  • S. F. Morris
    • 1
  1. 1.Department of Orthopaedic SurgeryAMNCHDublinIreland

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