Infection Risk Assessment Of VSD Combined With Early Fracture Internal Fixation For Treatment Of Fracture Complicated By Osteofacial Compartment Syndrome

ObjectiveThe purpose of this research was to assess the infection risk of VSD combined with early fracture internal fixation for treatment of fracture complicated by osteofacial compartment syndrome (OCS) through comprehensive analysis of the factors related to infection, as well as to provide new basis for clinical use of this therapy.MethodsObjectives in compliance with the inclusion standards were divided into two groups (treatment group and control group) after pairing, and the followings of both groups were considered as the observation indicators and analyzed:pre-internal fixation and post-internal fixation body temperature changes and changes to laboratory test results (WBC count, C-react protein, erythrocyte sedimentation rate (ESR)), post-internal fixation wound healing (whether any intense pain with redness, heat sensation, swelling, or purulent secretion discharge is observed), bacterial culture+drug sensitivity test results, postoperative X-ray results, and follow-up (primarily to identify delayed infection and late infection) results3months and half a year after the internal fixation.Results1(infection rate:6.67%) case from the treatment group were found with infection. Pre-internal fixation and post-internal fixation body temperature changes and changes to laboratory test results (WBC count, C-react protein, erythrocyte sedimentation rate (ESR)) of both groups were not statistically significant. In addition, no statistical significance was found after analysis of post-internal fixation wound healing (whether any intense pain with redness, heat sensation, swelling, or purulent secretion discharge is observed), bacterial culture+drug sensitivity test results, postoperative X-ray results, follow-up (primarily to identify delayed infection and late infection) results3months and half a year after the internal fixation.Conclusion:The treatment of fracture complicated by OCS with VSD combined with early fracture internal fixation can effectively control occurrence of infection.