Effect of Pulse Irrigation on Prevention of Incision Infection in Tibiofibular Fracture



We aimed to describe the effect of pulse irrigation in preventing incision infection in tibiofibular fracture and to explore the effectiveness of pulse irrigation on the prevention of the infection, providing a theoretical basis for its clinical application. Clinical data of 158 patients with tibiofibular fracture admitted in our hospital between Jan. and Dec. 2015 and 158 with tibiofibular fracture admitted between Feb. and Nov. 2016 were reviewed, and the patients were divided into the observation group and the control group. Wound was flushed by conventional method before incision suture for the patients in the control group, and pulse irrigation was applied for those in the observation group before suture. Postoperative incision infection rate, primary healing rate and the level of incision healing were compared. Rates of incision infection and wound healing in patients of the control group were 9.5% and 90.5%, respectively, and the corresponding rates in the observation group were 1.3% and 98.7%. The differences between the two groups were statistically significant (c2=10.51, p<0.05); level-A healing was observed in 132 patients of the control group and 150 in the observation group, with a statistically significant difference between groups (c2=10.68, p<0.05).Pulse irrigation effectively reduces the incidence of incision infection in tibiofibular fracture and improves the incision healing level.


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