Avtor/Urednik		Groznik, Matjaž
Naslov		Dejavniki, ki pomembno vplivajo na nastanek popoškodbenega osteitisa
Tip		monografija
Kraj izdaje		Ljubljana
Založnik		Univerza v Ljubljani, Medicinska fakulteta
Leto izdaje		2006
Obseg		str. 68
Jezik		slo
Abstrakt		Background: Post-traumatic osteomyelitis (POM) is one of the main complications in traumatology and orthopedics. Despite surgical and antibiotic treatment, it often remains refractory to therapy and leads to chronic disease. The most important factors known so far to contribute to development of POM are: open fracture, extent of soft tissue damage, type of fracture, instability of osteosynthesis and comorbidities. Patients and methods: The aim of our study was to establish additional factors influencing development of POM. We were observing factors that could be influenced upon during the treatment process. Patients were included into the control group so that the influence of all previously known factors was eliminated and there was no statistical difference between the two groups. The study was prospective observational and was performed in years 2000 to 2004 in Department of Traumatology of Clinical Centre Ljubljana. 25 patients treated for femoral or crural POM were included into the osteomyelitis group. POM was confirmed by pathological examination of bone specimens and positive microbiological cultures. 75 patients without POM that were surgically treated for femoral or crural fracture in years 2000 and 2001 were retrospectively included into the control group. The patients included into the control group were selected so that there was no significant difference from the osteomyelitis group regarding gender, mean age. mean number of aural and femoral fractures, open/closed fractures ratio and comorbidities. Using specially designed questionnaire for each group we assessed the following parameters: time to operating room, type of primary osteosynthesis, transfusion and antibiotic prophylaxis. Additional data about postoperative care were collected from patients' charts. Furthermore, we gathered outpatient treatment data. Functional state of patients was assessed at the end of the study. (Abstract truncated at 2000 characters)
Deskriptorji		FEMORAL FRACTURES TIBIAL FRACTURES FRACTURE FIXATION, INTERNAL POSTOPERATIVE COMPLICATIONS OSTEOMYELITIS STAPHYLOCOCCUS AUREUS RISK FACTORS PROSPECTIVE STUDIES