Matteo Messori, Georgios Touloupakis, Antonio Gilli, Emmanouil Theodorakis, Pierrenzo Pozzi, Stefano Ghirardelli, Guido Antonini
INTRODUCTION: Open fractures of the distal tibia can be functionally devastating, and they remain one of the most challenging injuries treated by trauma surgeons usually burdened with a high rate of complications, including surgical site infections (SSI). Our aim is to analyze the most significant risk factors of SSI and propose a new scoring system-called the DANGER scale-potentially able to predict reliably and quantify the infection risk in distal tibia open fractures. METHODS: We identified six variables summarized in the acronym DANGER where D stands for Diabetes, A for Antibiotic, N for Nature of trauma (high- or low-energy trauma), G represents Grade of fracture following the AO/OTA classification, E indicates Exposure of the fracture according to the Gustilo-Anderson classification, and R represents Relative risk of patient, including use of tobacco, alcoholism, and psychiatric disorders...
March 14, 2023: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie