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Can I read Low Infection Rate for Hand Fractures Managed with Surgical Fixation under Wide-Awake Local Anesthesia with No Tourniquet in Minor Surgery on EtoBox?
Low Infection Rate for Hand Fractures Managed with Surgical Fixation under Wide-Awake Local Anesthesia with No Tourniquet in Minor Surgery by Anna Karlene Steve; Julien John Shine; Spencer Yakaback; Jennifer Leah Matthews; Justin Yeung is a Medicine article available to read on EtoBox.
What is Low Infection Rate for Hand Fractures Managed with Surgical Fixation under Wide-Awake Local Anesthesia with No Tourniquet in Minor Surgery about?
## Background: The purpose of this study was to review the rate and type of infectious complications after surgical fixation of hand fractures managed under wide-awake local anesthesia with no tourniquet (walant) in minor procedure rooms outside the main operating room. ## Methods: A two-surgeon retrospective chart review was performed of patients who received surgical fixation of hand fractures under walant in minor surgery from march of 2014 to march of 2019. ## Results a total of: Patients, with distal phalanx ( n = 16), middle phalanx ( n = 7), proximal phalanx ( n = 11), or metacarpal ( n = 26) fractures, were included in the study. the average patient age was 37 years, with a higher proportion of male patients (51:7). two patients had two fractures each. thirty of the 58 cases were already open fractures. fixation was performed using either plates and screws (25 of 58) or nonburied kirschner wires (31 of 58). thirty-six percent of patients (21 of 58) were treated with prophylactic antibiotics. one patient developed postoperative cellulitis. the only case of osteomyelitis occurred in a patient with risk factors known to increase rates of infectious complications (open fracture
Who reads Low Infection Rate for Hand Fractures Managed with Surgical Fixation under Wide-Awake Local Anesthesia with No Tourniquet in Minor Surgery?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Anna Karlene Steve; Julien John Shine; Spencer Yakaback; Jennifer Leah Matthews; Justin Yeung
- Publisher
- Ovid Technologies (Wolters Kluwer Health)
- Published
- 2022
- Language
- EN
- Field
- Medicine (Health Sciences)