Early treatment of late-developed infection after open reduction and internal fixation:Analysis of 33 cases
Bibliographic record
Abstract
Objective: To explore the reason and early therapeutic methods for late-developed infection after open reduction and internal fixation(ORIF).Methods: Thirty-three patients(21 males,12 females) with the mean age of 33.5 years(range,fourteen to fifty-five years) who had late-developed infection after ORIF were involved in our study.The internal fixation devices were not removed initially,and treatment includes anti-inflammatory,scraping the sinus tract and irrigation.The internal fixations were removed from the patients(9 cases) of no effect with the above treatment.Antibiotics were administered interavenously in all patients about 14-21 days postoperatively.Results: The internal fixations were successfully retained in 24 cases.Among the patients who underwent internal device removal,4 cases obtained bone healing.The other 5 patients,on whom pseudoarthrosis presented,were treated with autologous bone graft and internal fixation subsequently.All cases were followed up for 8-12 months and no evidence of recurrence were observed.Conclusion: The early diagnosis and treatment of the late-developed infection are of great value,which can effectively retain the internal fixation and reduce the possibility of postoperative complications,such as bone nonunion.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".