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Exclusion criteria were pathological fractures and infections that were not secondary to post-traumatic reconstruction. The mean time of follow-up was 43.6\u00a0months (33\u2013144). For comparison purposes, we randomly selected patients that underwent pelvic fracture fixation from our database (control group). A logistic regression was fitted to patient characteristics including age, sex, ISS, and diabetic status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of 858 patients, 18 (2.1%) (12 males), with a mean age of 41 (18\u201373) met the inclusion criteria. The control group consisted of 82 patients with a mean age of 41\u00a0years (18\u201372). The mean ISS was 27.7 and 17.6 in the infection and control group, respectively. The mean time from pelvic reconstruction to the diagnosis of infection was 20\u00a0days (7\u201380). The median number of trips to theatre was 3 (1\u201316). Methicillin-resistant<jats:italic>Staphylococcus aureus<\/jats:italic>(MRSA) was the most frequently isolated organism in the years prior to 2012. Eradication was achieved in 93% of the patients. The most important risk factors for deep infection were ISS (OR 1.08, 1.03\u20131.13), posterior sacral approach (OR 17.03, 1.49\u2013194.40), and diabetes (OR 36.85, 3.54\u2013383.70).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this retrospective case\u2013control study, deep infection following pelvic trauma was rare. A number of patient-, injury- and surgery-related factors have shown strong correlation with this serious complication.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00068-021-01618-y","type":"journal-article","created":{"date-parts":[[2021,3,8]],"date-time":"2021-03-08T16:03:01Z","timestamp":1615219381000},"page":"3701-3709","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Deep infection following reconstruction of pelvic fractures: prevalence, characteristics, and predisposing risk factors"],"prefix":"10.1007","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1695-1519","authenticated-orcid":false,"given":"Nikolaos Konstantinou","family":"Kanakaris","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo","family":"Ciriello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petros Zoi","family":"Stavrou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert Michael","family":"West","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter Vasiliou","family":"Giannoudis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,3,8]]},"reference":[{"issue":"4","key":"1618_CR1","first-page":"281","volume":"68","author":"R McCormack","year":"2010","unstructured":"McCormack R, Strauss EJ, Alwattar BJ, Tejwani NC. 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