mersin univ saglık bilim derg

Mersin Üniversitesi Sağlık Bilimleri Dergisi

1308-0830

Mersin University

10.26559/mersinsbd.570041

Health Care Administration

Sağlık Kurumları Yönetimi

Infection development in open distal tibial fractures: A comparison of standard titanium plate applications with silver-coated titanium plate applications

Açık distal tibia kırıklarında enfeksiyon gelişimi: Standart titanyum plak ile gümüş kaplı titanyum plak uygulamaları karşılaştırması

https://orcid.org/0000-0002-4015-5045

Yılmaz

Ahmet

Sağlık Bilimleri Üniversitesi Adana Şehir Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği

https://orcid.org/0000-0002-3660-3511

Çiloğlu

Osman

Sağlık Bilimleri Üniversitesi Adana Şehir Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği

08 30 2019

12 2 293 299 05 25 2019 07 17 2019

2008

Mersin Üniversitesi Sağlık Bilimleri Dergisi

Aim: In this study, we aimed tocompare standard titanium plates and silver-Coated titanium plates used forosteosynthesis in open distal tibial fractures, in terms of infectiondevelopment. Methods: Weinvestigated the development of infection in 216 patients who were operated onbased on the principles of biological fixation for Gustilo-Anderson Type 1 andtype 2 open distal tibial fractures between 2008 and 2016.Standard titanium plates were used in 112patients (51.9%) (Group 1) and silver-coated titanium plates were used in 104patients (48.1%) (Group 2). In Group 1, 68 patients had Type 1 and 44 patientshad Type 2 open fractures. In Group 2, 58 patients had Type 1, 46 patients hadType 2 open fractures. Results:Infection developed in sixteen patients in Group 1 (five patients with Type 1and eleven patients with Type 2 fractures, 14.3%) and in three patients (2.9%)with Type 2 open fractures in Group 2. The development of infection wassignificantly lower in the group that underwent osteosynthesis usingsilver-coated titanium plates (p<0.05). No statistically significantdifference was detected between the groups in terms of time to union(p>0.05). 17 patients in Group 1 and 22 patients in Group 2 had delayed union.There were no statistical differences between two groups in terms of casenumbers showing delayed union (p>0.05). Delayed union was observed inall patients who developed infection. Conclusion:Osteosynthesis of open distal tibial fractures with silver-coated titaniumplates was found to be effective in preventing infection. Based on ourobservations, coating the implant with silver did not have any impact onfracture union.

Amaç: Bu çalışmada, standart titanyum plak ve gümüş kaplıtitanyum plak ile osteosentez yapılan açık distal tibia kırıklarındaenfeksiyon gelişimini karşılaştırmayı amaçladık. Yöntem: Gustilo-Anderson tip 1 ve tip 2 açık distal tibia kırığınedeniyle 2008-2016 tarihleri arasında biyolojik tesbit prensipleri ileameliyat edilen ve iki yılın üzerinde takibi yapılan 216 olguda enfeksiyongelişimi araştırıldı. Standart distal tibia titanyum plak 112 (%51.9) hastada(Grup 1), gümüş kaplı distal tibia titanyum plak 104 (%48.1) hastada (Grup 2)kullanıldı. Grup 1 de 68 hastada tip 1, 44 hastada tip 2 açık kırık vardı. Grup2 de ise 58 hastada tip tip 1, 46 hastada tip 2 açık kırık mevcuttu. Bulgular: Grup 1 de 16 (tip 1’de beşhasta, tip 2’de onbir hasta, %14.3) hastada, Grup 2 de tip 2 açık kırıklı üç(%2.9) hastada enfeksiyon gelişti. Enfeksiyon gelişimi gümüş kaplı titanyumplak ile osteosentez yapılan grupta anlamlı derecede düşük bulundu (p<0.05).Gruplar arasında kaynama süreleri açısından istatistiksel fark bulunmadı(p>0.05). Grup 1’de 17 hasta, Grup 2’de 22 hastadakaynama gecikmesi tesbit edildi. İki grup arasındakaynama gecikmesi gösteren olgu sayıları açısından istatistiksel fark yoktu (p>0.05).Enfeksiyon gelişen hastalarda aynı zamanda kaynama gecikmesi de saptandı. Sonuç: Gümüş kaplı titanyum plak ileaçık distal tbia kırıklarının osteosentezi enfeksiyonu önlemede etkin bulundu.İmplantın gümüş ile kaplanmasının kırık kaynaması üzerinde etkisi tesbitedilmedi.

Açık kırıklar osteosentez enfeksiyon biyofilm gümüş

Open fractures osteosynthesis infection biofilm silver

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