{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T21:45:32Z","timestamp":1792014332304,"version":"4.4.0"},"reference-count":38,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T00:00:00Z","timestamp":1685577600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surgical Infections"],"published-print":{"date-parts":[[2023,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Fracture-related infection (FRI) sometimes occurs with peri-prosthetic femoral fracture (PPF) treatment. Fracture-related infection often leads to multiple re-operations, possible non-union, a decreased clinical function, and long-term antibiotic treatment. In this multicenter study, we aimed to clarify the incidence of FRI, the causative organisms of wound infection, and the risk factors associated with post-operative infection for PPF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>Among 197 patients diagnosed with peri-prosthetic femoral fracture who received surgical treatment in 11 institutions (named the TRON group) from 2010 to 2019, 163 patients were included as subjects. Thirty-four patients were excluded because of insufficient follow-up (less than six months) or data loss. We extracted the following risk factors for FRI: gender, body mass index, smoking history, diabetes mellitus, chronic hepatitis, rheumatoid arthritis, dialysis, history of osteoporosis treatment, injury mechanism (high- or low-energy), Vancouver type, and operative information (waiting period for surgery, operation time, amount of blood loss, and surgical procedure). We conducted a logistic regression analysis to investigate the risk factors for FRI using these extracted items as explanatory variables and the presence or absence of FRI as the response variable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Fracture-related infection occurred after surgery for PPF in 12 of 163 patients (7.3%). The most common causative organism was\n                      <jats:italic toggle=\"yes\">Staphylococcus aureus<\/jats:italic>\n                      (n\u2009=\u20097). The univariable analysis showed differences for dialysis (p\u2009=\u20090.001), Vancouver type (p\u2009=\u20090.036), blood loss during surgery (p\u2009=\u20090.001), and operative time (p\u2009=\u20090.001). The multivariable logistic-regression analysis revealed that the patient background factor of dialysis (odds ratio [OR], 22.9; p\u2009=\u20090.0005), and the operative factor of Vancouver type A fracture (OR, 0.039\u20131.18; p\u2009=\u20090.018\u20130.19) were risk factors for FRI.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      The rate of post-operative wound infection in patients with a PPF was 7.3%.\n                      <jats:italic toggle=\"yes\">Staphylococcus<\/jats:italic>\n                      was the most frequent causative organism. The surgeon should pay attention to infection after surgery for patients with Vancouver type A fractures and those undergoing dialysis.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/sur.2022.347","type":"journal-article","created":{"date-parts":[[2023,5,8]],"date-time":"2023-05-08T11:35:27Z","timestamp":1683545727000},"page":"433-439","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Incidence and Risk Factors for Fracture-Related Infection After Peri-Prosthetic Femoral Fractures: A Multicenter Retrospective Study (TRON Group Study)"],"prefix":"10.1177","volume":"24","author":[{"given":"Yuji","family":"Matsuno","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhiko","family":"Takegami","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsuhiro","family":"Tokutake","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideomi","family":"Takami","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Kurokawa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manato","family":"Iwata","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Terasawa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken-ichi","family":"Yamauchi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiro","family":"Imagama","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,6,5]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2015.12.030"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01623184"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.11005\/jbm.2013.20.1.17"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2010.01.102"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s42836-021-00089-1"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-020-03410-w"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2019.01.044"},{"issue":"3","key":"e_1_3_5_9_2","first-page":"e18","article-title":"Use of an \u201cantibiotic plate\u201d for infected periprosthetic fracture in total hip arthroplasty","volume":"26","author":"Liporace FA","year":"2012","unstructured":"Liporace FA, , Yoon RS, , Frank MA, et al. 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