{"_buckets": {"deposit": "f28690b5-7b88-40d8-8c48-65510e30edae"}, "_deposit": {"created_by": 17, "id": "2007340", "owner": "17", "owners": [17], "owners_ext": {"displayname": "repository", "username": "repository"}, "pid": {"revision_id": 0, "type": "depid", "value": "2007340"}, "status": "published"}, "_oai": {"id": "oai:nagoya.repo.nii.ac.jp:02007340"}, "author_link": [], "item_1615768549627": {"attribute_name": "出版タイプ", "attribute_value_mlt": [{"subitem_version_resource": "http://purl.org/coar/version/c_ab4af688f83e57aa", "subitem_version_type": "AM"}]}, "item_9_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2023-06-05", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "5", "bibliographicPageEnd": "439", "bibliographicPageStart": "433", "bibliographicVolumeNumber": "24", "bibliographic_titles": [{"bibliographic_title": "Surgical Infections", "bibliographic_titleLang": "en"}]}]}, "item_9_description_4": {"attribute_name": "内容記述", "attribute_value_mlt": [{"subitem_description": "Background: 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. Patients and Methods: 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. Results: Fracture-related infection occurred after surgery for PPF in 12 of 163 patients (7.3%). The most common causative organism was Staphylococcus aureus (n = 7). The univariable analysis showed differences for dialysis (p = 0.001), Vancouver type (p = 0.036), blood loss during surgery (p = 0.001), and operative time (p = 0.001). The multivariable logistic-regression analysis revealed that the patient background factor of dialysis (odds ratio [OR], 22.9; p = 0.0005), and the operative factor of Vancouver type A fracture (OR, 0.039–1.18; p = 0.018–0.19) were risk factors for FRI. Conclusions: The rate of post-operative wound infection in patients with a PPF was 7.3%. Staphylococcus 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.", "subitem_description_language": "en", "subitem_description_type": "Abstract"}]}, "item_9_publisher_32": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "Mary Ann Liebert", "subitem_publisher_language": "en"}]}, "item_9_relation_43": {"attribute_name": "関連情報", "attribute_value_mlt": [{"subitem_relation_type": "isVersionOf", "subitem_relation_type_id": {"subitem_relation_type_id_text": "https://doi.org/10.1089/sur.2022.347", "subitem_relation_type_select": "DOI"}}]}, "item_9_rights_12": {"attribute_name": "権利", "attribute_value_mlt": [{"subitem_rights": "\"This is the accepted version of the following article: [Yuji Matsuno, Yasuhiko Takegami, Katsuhiro Tokutake, Hideomi Takami, Hiroshi Kurokawa, Manato Iwata, Satoshi Terasawa, Ken-ichi Yamauchi, and Shiro Imagama.Incidence and Risk Factors for Fracture-Related Infection After Peri-Prosthetic Femoral Fractures: A Multicenter Retrospective Study (TRON Group Study).Surgical Infections.Jun 2023.433-439.http://doi.org/10.1089/sur.2022.347], which has now been formally published in final form at [Surgical Infections] at [https://doi.org/10.1089/sur.2022.347]. This original submission version of the article may be used for non-commercial purposes in accordance with the Mary Ann Liebert, Inc., publishers’ self-archiving terms and conditions.\"", "subitem_rights_language": "en"}]}, "item_9_source_id_7": {"attribute_name": "収録物識別子", "attribute_value_mlt": [{"subitem_source_identifier": "1096-2964", "subitem_source_identifier_type": "PISSN"}]}, "item_access_right": {"attribute_name": "アクセス権", "attribute_value_mlt": [{"subitem_access_right": "open access", "subitem_access_right_uri": "http://purl.org/coar/access_right/c_abf2"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "Matsuno, Yuji", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Takegami, Yasuhiko", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Tokutake, Katsuhiro", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Takami, Hideomi", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Kurokawa, Hiroshi", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Iwata, Manato", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Terasawa, Satoshi", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Yamauchi, Ken-ichi", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Imagama, Shiro", "creatorNameLang": "en"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_access", "date": [{"dateType": "Available", "dateValue": "2023-09-19"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "Incidence_and_Risk_Factors_for_Fracture-Related_Infection.pdf", "filesize": [{"value": "381 KB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "mimetype": "application/pdf", "size": 381000.0, "url": {"objectType": "fulltext", "url": "https://nagoya.repo.nii.ac.jp/record/2007340/files/Incidence_and_Risk_Factors_for_Fracture-Related_Infection.pdf"}, "version_id": "9103583a-d3ad-4b47-b944-608739b960b9"}]}, "item_language": {"attribute_name": "言語", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "item_resource_type": {"attribute_name": "資源タイプ", "attribute_value_mlt": [{"resourcetype": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "Incidence and Risk Factors for Fracture-Related Infection After Peri-Prosthetic Femoral Fractures: A Multicenter Retrospective Study (TRON Group Study)", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "Incidence and Risk Factors for Fracture-Related Infection After Peri-Prosthetic Femoral Fractures: A Multicenter Retrospective Study (TRON Group Study)", "subitem_title_language": "en"}]}, "item_type_id": "40001", "owner": "17", "path": ["501"], "permalink_uri": "http://hdl.handle.net/2237/0002007340", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2023-09-19"}, "publish_date": "2023-09-19", "publish_status": "0", "recid": "2007340", "relation": {}, "relation_version_is_last": true, "title": ["Incidence and Risk Factors for Fracture-Related Infection After Peri-Prosthetic Femoral Fractures: A Multicenter Retrospective Study (TRON Group Study)"], "weko_shared_id": -1}