在指截肢后进行二次修订的危险因素
Nikhil Adapa1, Zachary B Adkins1, Krystin A Hidden1
1Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, USA.
Hand (New York, N.Y.)
|June 3, 2023
概括
截肢后的二次修改是常见的,特别是在心脏病或糖尿病患者中. 识别并发症和保险类型等风险因素可以帮助预测哪些患者可能需要进一步的手术.
科学领域:
- 外科手术的结果
- 手部手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手 ...
- 重建性手术是一种重建性手术.
背景情况:
- 截肢,虽然通常是直接的创伤或感染,经常需要二次修订.
- 并发症和患者不满是重复手术的常见原因.
- 确定二次修订的预测因素对于优化治疗策略至关重要.
研究的目的:
- 调查影响数字截肢后二次修改率的因素.
- 确定患者的人口统计,并发症和与修复手术需要相关的手术细节.
主要方法:
- 在2011年至2017年间,对经历了手指截肢的患者进行了回顾性图表审查.
- 排除急诊室截肢;专注于在手术室进行的二次检查.
- 收集有关患者人口统计,并发症,截肢程度和并发症的数据.
主要成果:
- 这项研究包括278名患者和386名手指截肢,手指的二次修订率为15.5%.
- 患有心脏病和糖尿病的患者与二次修订的相关性更高.
- 伤口并发症是修改的主要征兆 (73.8%),而医疗保险患者更有可能接受修改 (52.4%对30.1%).
结论:
- 二次修改的危险因素包括医疗保险,并发症,先前的截肢,以及食指或远端的截肢.
- 这些发现可以为一个预测模型提供信息,以指导对有修复截肢风险的患者进行手术决策.
- 了解这些因素可以帮助量身定制手术方法和患者管理,以尽量减少重复手术的需要.
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