Analysis of septic complications after using metallic implants at pelvic limb

Abstract

Aim: the study of the incidence of septic complications related to the post-operative fixation of the pelvic limb, depending on the type of trauma, the affected segment and type type of the osteosynthesis performed. Materials and Methods: Was conducted a retrospective-descriptive study of a group of 749 patients hospitalized in the period 2011-2015 in IMU Plastic Surgery Clinic and Reconstructive Microsurgery. Was studied the distribution by sex, trauma, time of occurrence of infectious complications and Bacteriological test results. Results: From the total group of patients were 192 women (25.64), men - 557 (74.36%). Damage of the tibial bone were met in 426 cases (57.25%), of which 91 cases (21.36%) after fixation with locked intramedullary nail, 153 cases (35.91%) by use of plate and screws, and 182 (42,72%) following the extrafocar device. From this group of patients, the femur was affected in 169 cases (22.71%) with the extrafocar application -20 cases (11.83%), screw - 39 cases (23.07%), 51 cases of intramedullary rod (30,17%), and the plates screw - 59 cases (34.91%). Septic complications in the plant have a rate of 12.9% (96 cases), and the talo-crural joint 3.35% (25 cases) and respectively pelvis have 3.76% (28 cases). The evolution of the pathology of more than 10 years it has been determined in 12% of cases, and in one year in 73%. In 464 cases (62.07%) predominate G + flora. Conclusions: septic complications arepathologies difficult to treat, with a long process and severe evolution disease characterized by deriving serious with difficult prevention, diagnosis and treatment. According to the material in12% of cases are repeated relapses after the first acutization. The closed fracture rate prevails septic complications of nosocomial infection: in some cases, fixation was carried to thelimit of indications or was stabilized the fragments withmaterial ofosteosynthesis, but that was not enough. Aggression of skeletal infection was caused by various bacterial strains, the predominant Gram + 62.07 %, and the combination of microorganisms, it makes us once again to revisit the administration of antibiotics.