Incidence of surgical site infection after internal fixation of the first phalangeal bone and the third metacarpal/metatarsal bone fractures in Thoroughbred racehorses.

Q3 Veterinary
Journal of Equine Science Pub Date : 2023-09-01 Epub Date: 2023-09-08 DOI:10.1294/jes.34.61
Hiroshi Mita, Taisuke Kuroda, Hidekazu Niwa, Norihisa Tamura, Kentaro Fukuda, Minoru Ohta
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引用次数: 0

Abstract

Surgical site infection (SSI) is one of the major complications of equine fracture surgery. The purpose of this study was to investigate the incidence of and risk factors for SSI after internal fixation of the first phalangeal bone (P1) and the third metacarpal/metatarsal bone (MC3/MT3) fractures in Thoroughbred racehorses. Between 2011 and 2020, 451 cases underwent surgery with screws or a locking compression plate (LCP) for sagittal fractures of P1 or condylar fractures of MC3/MT3. Overall, 2.9% (13/451) of the cases developed an SSI. The incidence was significantly higher in plate fixation (21.4%) than in screw fixation (2.3%). There was no significant association with other variables, such as sex, age, number of screws, experience of surgeon, or prophylactic antimicrobials. The median duration of hospitalization for screw fixation was 14 days without an SSI and 20 days with an SSI, and those for plate fixation were 26 and 25-88 days, respectively, indicating that the development of SSI prolongs the duration of hospitalization. On the other hand, there were no significant differences in discharge and race resumption rates between cases with and without an SSI. These data indicate that the incidence of SSI in this study was low and that it was higher following plate fixation than screw fixation.

纯种赛马第一指骨和第三掌骨/跖骨骨折内固定后手术部位感染的发生率。
手术部位感染是马骨折手术的主要并发症之一。本研究的目的是调查纯种赛马第一指骨(P1)和第三掌骨/跖骨(MC3/MT3)骨折内固定后SSI的发生率和危险因素。2011年至2020年间,451例患者接受了螺钉或无导线心脏起搏器(LCP)手术治疗P1矢状骨折或MC3/MT3髁突骨折。总体而言,2.9%(13/451)的病例出现SSI。钢板内固定的发生率(21.4%)明显高于螺钉内固定(2.3%)。与其他变量(如性别、年龄、螺钉数量、外科医生经验或预防性抗菌药物)没有显著关联。螺钉固定的中位住院时间在没有SSI的情况下为14天,有SSI的患者为20天,钢板固定的患者分别为26天和25-88天,这表明SSI的发展延长了住院时间。另一方面,有SSI和没有SSI的病例在出院率和比赛恢复率方面没有显著差异。这些数据表明,本研究中SSI的发生率较低,钢板内固定后的发生率高于螺钉内固定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Equine Science
Journal of Equine Science Veterinary-Equine
CiteScore
1.60
自引率
0.00%
发文量
9
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