Ma. Doherty et Mm. Smith, CONTAMINATION AND INFECTION OF FRACTURES RESULTING FROM GUNSHOT TRAUMA IN DOGS - 20 CASES (1987-1992), Journal of the American Veterinary Medical Association, 206(2), 1995, pp. 203-205
Medical records of 20 dogs with gunshot fractures were reviewed to det
ermine the prevalence of preoperative contamination and postoperative
osteomyelitis. Fractures were repaired primarily by application of a b
one plate (n = 16) or external fixator (n = 2) in buttress fashion or
application of interfragmentary screws and pins (n = 2). In 17 dogs, a
n autogenous bone graft was also used. Results of bacteriologic cultur
e of swab specimens obtained intraoperatively for 15 of the 16 dogs th
at received antimicrobials preoperatively and for all 4 dogs that did
not receive antimicrobials preoperatively were negative. Three dogs de
veloped osteomyelitis at 6, 8, and 10 weeks following surgery; for all
3, results of bacteriologic culture of specimens obtained intraoperat
ively had been negative. Fracture healing was uncomplicated in the rem
aining dogs (mean follow-up time, 23 months; range, 2 to 58 months). D
espite the potential for contamination associated with gunshot trauma,
results indicated a low prevalence of preoperative fracture contamina
tion and postoperative osteomyelitis. These results imply either a low
contamination rate or treatable contamination of the perifracture are
a.