Open AccessDelayed surgical debridement in pediatric open fractures: A systematic review and meta-analysis
Author(s) -
Talal Ibrahim,
Muhammad Riaz,
Abdelsalam Hegazy,
Patricia J. Erwin,
Imad M. Tleyjeh
Publication year - 2014
Publication title -
journal of children s orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.638
H-Index - 36
eISSN - 1863-2548
pISSN - 1863-2521
DOI - 10.1007/s11832-014-0567-2
Subject(s) - medicine , debridement (dental) , meta analysis , odds ratio , surgery , retrospective cohort study , orthopedic surgery , cohort study
Open fractures are considered orthopedic emergencies that are traditionally treated with surgical debridement within 6 h of injury to prevent infection. However, this proclaimed "6-h rule" is arbitrary and not based on rigorous scientific evidence. The aim of our study was to systematically review the literature that compares late (>6 h from the time of injury) to early (<6 h from the time of injury) surgical debridement of pediatric open fractures.
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