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Treatment of Open Fractures of the Hand in the Emergency Department by Nofar Ben Basat; Raviv Allon; Ahmad Nagmi; Ronit Wollstein is a Medicine article available to read on EtoBox.

What is Treatment of Open Fractures of the Hand in the Emergency Department about?

Current guidelines suggest early surgical treatment of open fractures. This rule in open hand fractures is not well supported and may be unpractical. Furthermore, desirable debridement and washout can be obtained in the emergency department (ED). The purpose of this study was to evaluate the relationship between the level of contamination, quality of washout in the emergency room, and the development of infection. Sixty-one patients with open fractures of the hand were retrospectively reviewed for demographic and fracture characteristics, and other complications. The infection rate was 14.8%. Contamination was present in 43 patients (70.5%). One thousand milliliters or more were used to obtain a grossly clean wound in 43 patients (70.5%). No significant relationship was found between fracture type, finger involved, hand dominance, comorbidities, and development of infection. The amount of fluid used for washout was significantly related to infection (P = 0.047), whereas wound contamination was not (P = 0.259). Type of oral antibiotic was significantly related to infection (P = 0.039). The level of contamination was not a significant factor in predicting infection, whereas the amoun

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Author

Nofar Ben Basat; Raviv Allon; Ahmad Nagmi; Ronit Wollstein

Publisher

Springer Science and Business Media LLC

Published

2017

Language

EN

Field

Medicine (Health Sciences)