Introduction The goal of this study was to evaluate the effects of local intra-wound vancomycin powder (VP) administration to decrease surgical site infections (SSIs), particularly in elderly patients with comorbidities, after having undergone partial hip replacement in the treatment of intertrochanteric (ITF) or femoral neck fractures (FNF). Methods We retrospectively reviewed patients who underwent partial hip replacement in the treatment of ITF or FNF in one year. We divided the patients into two groups. The non vancomycin-treated group received standard systemic prophylaxis only (1 gr cefazolin IV), while the vancomycin-treated group received 1 gr of VP in the surgical wound just before surgical closure in addition to the systemic prophylaxis. We included patients of 64 years or older who also had one or more comorbidities. We compared the post-operative SSI rates between the non vancomycin-treated group and the vancomycin-treated group. Results A total of 93 patients were included in the study. We detected post-operative wound infection in six patients (6.4%). The rate of SSI was found to be 5.7% in the vancomycin-treated group and 6.9% in the non vancomycin-treated group respectively, which showed no statistically significant difference (p:0.498). The incidence of SSI was statistically higher in the patients who had a follow-up in the post-operative intensive care unit than the patients who had not any follow-up in the intensive care unit. Conclusion Local application of VP in the surgical wound was found to be ineffective in reducing the incidence of SSI after partial hip replacement in elderly patients with comorbidities.

Saygıdeğer okuyucular,Her şeyden önce size teşekkür etmek istiyorum, bilgi çağında, bilgiden yoksun, bilgiden uzak işini yapadurmak yerine, sağlık alanındaki inovasyon, teknoloji ve yapay zeka kulvarlarındaki merakınız ve hekimseniz hastanıza en doğru tanıyı koyup, en doğru tedaviyi vermek gayesi yada alan uzmanı iseniz de bu alanlarda gelişime inanarak okumayı seçtiğiniz, konfor alanınızı bozmayı kabul ettiğiniz için.Bu kitapta sağlığımızın geleceğinin büyük bir kısmını oluşturacak olan, sağlığın yapay zekasını size sunduk. Yapay zekanın sağlık alanındaki gelişmelerini, karar destek sistemlerini, büyük veriyi ve gelecek perspektifini en güncel bilgiler ışığında bu kitapta bulacaksınız.

Joint Diseases and Related Surgery (JDRS), the official journal of the Turkish Joint Diseases Foundation, is an international, peer-reviewed, immediate open access journal. All published articles in JDRS has been free for everyone, without embargo, since 1990.

Joint Diseases and Related Surgery (JDRS), the official journal of the Turkish Joint Diseases Foundation, is an international, peer-reviewed, immediate open access journal. All published articles in JDRS has been free for everyone, without embargo, since 1990.