%0 Journal Article %1 Lavelle2007111 %A Lavelle, W.F. %A Uhl, R. %A Krieves, M. %A Drvaric, D.M. %D 2007 %J Journal of surgical orthopaedic advances %K imported webServiceFertigation %N 3 %P 111-117 %T Management of open fractures in adult patients: current teaching in ACGME accredited residency programs. %U http://www.scopus.com/inward/record.url?eid=2-s2.0-38449089447&partnerID=40&md5=ee4927d9a75d80c6a460e6b398bc7f5e %V 16 %X The purpose of this study is to determine the methods of treatment for open fractures that are currently used by academic orthopaedic residency programs. A Web-based survey was constructed and e-mailed to program directors of orthopaedic residencies. Seventy-four programs out of a total of 140 (53%) surveyed programs responded. Data were tabulated and charts were created in an Excel spreadsheet. Type I fractures were treated by most with a cephalosporin alone (99%) for less than 48 hours (86%). Type II fractures were treated by most programs with a cephalosporin alone with no aminoglycoside (85%) for less than 48 hours (81%). Type IIIa fractures were treated by most programs with a cephalosporin and an aminoglycoside (55%) for less than 48 hours (54%). Type IIIb fractures were treated by most with a cephalosporin and aminoglycoside (55%) for less than 48 hours (54%). Type IIIc fractures were also treated by most with a cephalosporin and an aminoglycoside (57%) for less than 48 hours (49%). Wounds were closed by most responders for type I (88%), type II (86%), and type IIIa (57%), but not type IIIb (5%) and type IIIc (11%) fractures. Fifty-four percent of programs reported having trauma rooms and 58% of programs allow residents to irrigate and débride wounds in the emergency room. The study concluded that most orthopaedic residencies utilize a cephalosporin alone for types I and II open fractures with an aminoglycoside added for type III fractures. Antibiotic treatment is typically given for 48 hours or less. A delay of 6 hours is accepted for types I and II fractures but not type III fractures.

@article{Lavelle2007111, abstract = {The purpose of this study is to determine the methods of treatment for open fractures that are currently used by academic orthopaedic residency programs. A Web-based survey was constructed and e-mailed to program directors of orthopaedic residencies. Seventy-four programs out of a total of 140 (53%) surveyed programs responded. Data were tabulated and charts were created in an Excel spreadsheet. Type I fractures were treated by most with a cephalosporin alone (99%) for less than 48 hours (86%). Type II fractures were treated by most programs with a cephalosporin alone with no aminoglycoside (85%) for less than 48 hours (81%). Type IIIa fractures were treated by most programs with a cephalosporin and an aminoglycoside (55%) for less than 48 hours (54%). Type IIIb fractures were treated by most with a cephalosporin and aminoglycoside (55%) for less than 48 hours (54%). Type IIIc fractures were also treated by most with a cephalosporin and an aminoglycoside (57%) for less than 48 hours (49%). Wounds were closed by most responders for type I (88%), type II (86%), and type IIIa (57%), but not type IIIb (5%) and type IIIc (11%) fractures. Fifty-four percent of programs reported having trauma rooms and 58% of programs allow residents to irrigate and débride wounds in the emergency room. The study concluded that most orthopaedic residencies utilize a cephalosporin alone for types I and II open fractures with an aminoglycoside added for type III fractures. Antibiotic treatment is typically given for 48 hours or less. A delay of 6 hours is accepted for types I and II fractures but not type III fractures.}, added-at = {2012-08-14T14:23:27.000+0200}, affiliation = {Department of Orthopedic Surgery, Albany Medical College, 1367 Washington Ave., Albany, NY 12206, USA.}, author = {Lavelle, W.F. and Uhl, R. and Krieves, M. and Drvaric, D.M.}, biburl = {https://www.bibsonomy.org/bibtex/2ac13c27193d661dbc865bc38ec4f2af6/m.vavalis}, document_type = {Article}, interhash = {1b0dea01ab9eb938120109b79db6764f}, intrahash = {ac13c27193d661dbc865bc38ec4f2af6}, journal = {Journal of surgical orthopaedic advances}, keywords = {imported webServiceFertigation}, note = {cited By (since 1996) 1}, number = 3, pages = {111-117}, source = {Scopus}, timestamp = {2012-08-22T18:16:37.000+0200}, title = {Management of open fractures in adult patients: current teaching in ACGME accredited residency programs.}, url = {http://www.scopus.com/inward/record.url?eid=2-s2.0-38449089447&partnerID=40&md5=ee4927d9a75d80c6a460e6b398bc7f5e}, volume = 16, year = 2007 }