Open fractures and the incidence of infection in the surgical debridement 6 hours after trauma.

Objectives: To determine whether a time delay greater than 6h from injury to surgical debridement influences the infection rate in open fractures.

Methods: During a period of 18 months, from October 2010 to March 2012, 151 open fractures were available for study in 142 patients in our hospital. The data were collected prospectively and the patients were followed up for 6 weeks.

Prognostic factors on survival rate of fingers replantation.

Objective: To evaluate the factors that influence the survival rate of replantation and revascularization of the thumb and/or fingers.

Methods: We included fifty cases treated in our department from May 2012 to October 2013 with total or partial finger amputations, which had blood perfusion deficit and underwent vascular anastomosis. The parameters evaluated were: age, gender, comorbidities, trauma, time and type of ischemia, mechanism, the injured area, number of anastomosed vessels and use of vein grafts.