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Can Open Hand Injuries Wait for Their Surgery in a Tertiary Hospital?

Wei Ping Sim1, Hannah Jia Hui Ng1, Benjamin Zhiren Liang1

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This summary is machine-generated.

Delaying surgery for open hand injuries did not increase deep-seated infection rates. Semi-emergent surgical management of these injuries appears safe, with low infection rates comparable to published literature.

Keywords:
deep infectionhand injuriesinfectionopen injuriessemi-emergent surgery

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Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Infectious Disease

Background:

  • Open hand injuries often require acute surgical intervention, competing with other surgical emergencies.
  • The optimal timing for surgical treatment of open hand injuries is debated.
  • Understanding the impact of surgical delay on infection rates is crucial for patient outcomes.

Purpose of the Study:

  • To retrospectively evaluate the association between delayed surgical timing and postoperative infection rates in open hand injuries.
  • To determine if semi-emergent surgical management of open hand injuries is associated with increased infection risk.

Main Methods:

  • Retrospective analysis of 232 patients with open hand injuries undergoing semi-emergent day surgery between January 1, 2015, and December 31, 2016.
  • Infection outcomes were analyzed against demographic data, injury specifics, and time from trauma to surgical intervention.
  • Surgical procedures were predominantly performed under local anesthesia (92.0%).

Main Results:

  • A low rate of deep-seated postoperative infection (1.3%) was observed.
  • No significant association was found between delayed surgical treatment and increased rates of deep-seated infection.
  • The overall infection rates were comparable to those reported in existing literature.

Conclusions:

  • Delayed surgical intervention for open hand injuries does not appear to elevate the risk of deep-seated infection.
  • Managing open hand injuries as semi-emergent procedures is a viable option, supported by low infection rates.
  • Further research may explore optimizing surgical scheduling for hand trauma without compromising patient safety.