VIDEO: Speaker discusses vancomycin powder, patient mental health after fracture surgery
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Key takeaways:
- Vancomycin powder may effectively reduce surgical site infection rates after fixation of tibial fractures.
- Clinicians should be wary of patients’ poor mental health outcomes after surgery.
SAN FRANCISCO — In this video from the American Academy of Orthopaedic Surgeons Annual Meeting, Robert V. O’Toole, MD, FAAOS, discussed results from several trials on infection and outcomes after fracture surgery.
O'Toole, a professor of orthopedic trauma at the University of Maryland School of Medicine and the chief of orthopedics at the R Adams Cowley Shock Trauma Center at the University of Maryland Medical Center, spoke about results from the VANCO trials that analyzed the efficacy of vancomycin powder for reducing deep surgical site infection (SSI) and gram-positive deep SSI rates.
“This is something we would strongly recommend – that people taking care of plateau and pilon fractures add in topical antibiotic powder to reduce the risk of infection,” he said.
O’Toole also spoke about results from the FIXIT trial, which explored mental health outcomes in patients who underwent external ring fixation vs. internal fixation for severe open tibial shaft fractures.
“Your patients may have very important depression, posttraumatic stress [and] anxiety,” he said. “Often in a lot of medical systems, we may not be treating this very well. So, this is an important message to the clinicians,” he concluded.
References:
Alfonso N, et al. Paper 24. Presented at: American Academy of Orthopaedic Surgeons Annual Meeting; Feb. 12-16, 2024; San Francisco.
Thompson AR, et al. Paper 276. Presented at: American Academy of Orthopaedic Surgeons Annual Meeting; Feb. 12-16, 2024; San Francisco.
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Patterson J, et al. Paper 023. Presented at: American Academy of Orthopaedic Surgeons Annual Meeting; Feb. 12-16, 2024; San Francisco.
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