Published online Jun 18, 2024. doi: 10.5312/wjo.v15.i6.539
Revised: May 7, 2024
Accepted: May 27, 2024
Published online: June 18, 2024
Processing time: 138 Days and 11.5 Hours
Open long bone fractures are a major concern for pediatric patients due to the risk of surgical site infection (SSI). Early studies have recommended irrigation and debridement of open fractures within 6 hours-8 hours for the prevention of SSI. According to the American College of Surgeons (ACS) Best Practice Guidelines, in 2015, irrigation and debridement should be done within 24 hours.
To identify whether early irrigation and debridement, within 8 hours, vs late, between 8 hours and 24 hours, for pediatric open long bone fractures impacts rate of SSI.
Using retrospective data review from the National Trauma Data Bank, Trauma Quality Improvement Project (TQIP) of 2019. TQIP database is own by the ACS and it is the largest database for trauma quality program in the world. Propensity matching analysis was performed for the study.
There were 390 pediatric patients with open long bone fractures who were incl
Our findings support the recommendation for managing open long bone fractures from the ACS: Complete surgical irrigation and debridement within 24 hours.
Core Tip: Using the National Trauma Quality Improvement Project of 2019, data from 390 pediatric patients with open long bone fractures showed no significant difference in the rate of surgical site infection when irrigation and debridement was done within 8 hours vs between 8 hours and 24 hours.