Infections after high tibial open wedge osteotomy: a case control study.
Details
Serval ID
serval:BIB_49FDEA2BEE74
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Infections after high tibial open wedge osteotomy: a case control study.
Journal
Archives of Orthopaedic and Trauma Surgery
ISSN
1434-3916 (Electronic)
ISSN-L
0936-8051
Publication state
Published
Issued date
2009
Volume
129
Number
11
Pages
1483-1487
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
Abstract
BACKGROUND AND PURPOSE: High tibial open wedge valgisation osteotomy (HTO) is a widely used procedure for the treatment of unicompartimental osteoarthritis of the knee. Instead of the classical paramedian longitudinal skin incision, some advocate an oblique incision, in order to get a better exposure of the postero-medial aspect of the tibial head, while reducing strain on the soft tissues. Risk factors for surgical site infection were analysed.
METHODS: Retrospective analysis of all cases of HTO performed in a single institution between January 2000 and June 2006.
RESULTS: A total of 106 patients underwent 110 HTO during the study period. The standard longitudinal incision had been used in 90, oblique incision in 20 cases. Four infections occurred, all with an oblique incision. This was the only factor showing a statistical significant association with surgical site infection (P = 0.001).
INTERPRETATION: The oblique incision is the only parameter with statistical significant association with infection after HTO. As this study type cannot prove causality, it is recommended to perform oblique incision only after careful evaluation of risks and benefits.
METHODS: Retrospective analysis of all cases of HTO performed in a single institution between January 2000 and June 2006.
RESULTS: A total of 106 patients underwent 110 HTO during the study period. The standard longitudinal incision had been used in 90, oblique incision in 20 cases. Four infections occurred, all with an oblique incision. This was the only factor showing a statistical significant association with surgical site infection (P = 0.001).
INTERPRETATION: The oblique incision is the only parameter with statistical significant association with infection after HTO. As this study type cannot prove causality, it is recommended to perform oblique incision only after careful evaluation of risks and benefits.
Keywords
Adult, Antibiotic Prophylaxis, Case-Control Studies, Chi-Square Distribution, Female, Humans, Male, Osteoarthritis, Knee/surgery, Osteotomy/methods, Retrospective Studies, Risk Factors, Statistics, Nonparametric, Surgical Wound Infection/epidemiology, Switzerland/epidemiology, Tibia/surgery
Pubmed
Web of science
Create date
26/11/2012 16:44
Last modification date
20/08/2019 13:57