Antibiotic Prophylaxis for Distal Interphalangeal Joint Arthrodesis

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dc.contributor.authorVohra, Sahil F.en
dc.contributor.authorBeck, Jadon H.en
dc.contributor.authorBarrett, Patrick C.en
dc.contributor.authorBravo, Cesar J.en
dc.contributor.authorApel, Peter J.en
dc.date.accessioned2023-04-20T15:08:57Zen
dc.date.available2023-04-20T15:08:57Zen
dc.date.issued2023-03-06en
dc.date.updated2023-04-20T13:47:18Zen
dc.description.abstractBackground: Prior evidence is clear that in clean, elective soft-tissue hand procedures less than 2 hours, antibiotic prophylaxis is not indicated. However, there is a lack of consensus regarding the boney procedures of the hand involving implanted hardware. Previous studies reviewing complications after distal interphalangeal (DIP) joint arthrodesis did not analyze whether patients receiving antibiotics before surgery had a significant difference in the infection rate. Methods: A retrospective review of clean, elective DIP arthrodesis was conducted between September 2018 and September 2021. The subjects were aged 18 years and older and underwent elective DIP arthrodesis for the treatment of osteoarthritis or deformity of the DIP joint. All the procedures were performed using an intramedullary headless compression screw. The rates of postoperative infections and treatments required for infections were recorded and analyzed. Results: Overall, 37 unique patients had at least one case of DIP arthrodesis that met the criteria for inclusion in our analysis. Twenty of the 37 patients did not receive antibiotic prophylaxis, and 17 of the 37 patients received antibiotic prophylaxis. Five of the 20 patients who did not receive antibiotics prophylactically developed infections, and none of the 17 patients who received antibiotics prophylactically developed an infection. Fisher exact test revealed a significant difference in the infection rates between the two groups (P < 0.05). There was no significant difference in infections with respect to smoking or diabetes status. Conclusion: Antibiotic prophylaxis should be administered for clean, elective DIP arthrodesis, using an intramedullary screw.en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1097/GOX.0000000000004848en
dc.identifier.eissn2169-7574en
dc.identifier.issn2169-7574en
dc.identifier.issue3en
dc.identifier.orcidApel, Peter [0000-0002-5428-2125]en
dc.identifier.orcidBravo, Cesar [0000-0002-3641-1368]en
dc.identifier.otherPMC9988317en
dc.identifier.pmid36891567en
dc.identifier.urihttp://hdl.handle.net/10919/114732en
dc.identifier.volume11en
dc.language.isoenen
dc.publisherWolters Kluwer Healthen
dc.relation.urihttps://www.ncbi.nlm.nih.gov/pubmed/36891567en
dc.rightsCreative Commons Attribution-NonCommercial-NoDerivatives 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectInfectious Diseasesen
dc.subjectInfectionen
dc.titleAntibiotic Prophylaxis for Distal Interphalangeal Joint Arthrodesisen
dc.title.serialPlastic and Reconstructive Surgery - Global Openen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherJournal Articleen
dcterms.dateAccepted2023-01-04en
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Orthopedicen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Orthopedic/Hand and Upper Extremityen

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