Magnitude of infection and associated factors in open tibial fracture treated operatively, in Addis Ababa burn emergency and trauma center

Background Due to the specific anatomical features of the tibia (limited soft tissue coverage), more than a quarter of its fractures are classified as open, representing the most common open long-bone injuries. Open tibial fractures frequently cause significant bone comminution, periosteal stripping...

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Published in:European journal of orthopaedic surgery & traumatology 2024-12, Vol.35 (1), p.46, Article 46
Main Authors: Tesso, Cheru Beyene, Mohammed, Tuji, Teshome, Berhanu, Ayalew, Kalkidan, Kebede, Samuel
Format: Article
Language:English
Subjects:
Adolescent
Adult
Cross-Sectional Studies
Ethiopia - epidemiology
Female
Fractures
Fractures, Open - complications
Fractures, Open - surgery
Humans
Infections
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Prevalence
Retrospective Studies
Risk Factors
Surgical Orthopedics
Surgical Wound Infection - epidemiology
Surgical Wound Infection - etiology
Tibial Fractures - complications
Tibial Fractures - surgery
Trauma
Trauma centers
Trauma Centers - statistics & numerical data
Traumatic Surgery
Young Adult
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Summary:Background Due to the specific anatomical features of the tibia (limited soft tissue coverage), more than a quarter of its fractures are classified as open, representing the most common open long-bone injuries. Open tibial fractures frequently cause significant bone comminution, periosteal stripping, soft tissue loss, contamination and are prone to bacterial entry with biofilm formation, which increases the risk of deep bone infection. The main objective of this study was to determine prevalence of infection and its associated factors in surgically treated open tibial fracture, at Addis Ababa Burn Emergency and Trauma (AaBET) hospital. Method A facility-based retrospective cross-sectional study was conducted among patient treated for open tibial fracture at AaBET hospital from September 2018 to September 2021. The data were collected from patient’s chart using a structured data collection form and entered and analyzed using SPSS version 26. Binary logistic regression was fitted to determine risk factors associated with surgically treated open tibial fracture. Multicollinearity was checked using variance inflation factor and tolerance. Model adequacy was tested using the Hosmer–Lemeshow goodness-of-fitness test, and adjusted odds ratio (AOR) with a 95% CI at p value 
ISSN:1432-1068
1633-8065
1432-1068
DOI:10.1007/s00590-024-04149-5