带高原骨折感染的危险因素
A Coelho1, I Parés-Alfonso1, R Companys1
1Servicio de Cirugía Ortopédica y Traumatología, Hospital del Mar, Universitat Autònoma de Barcelona, Barcelona, España.
Revista espanola de cirugia ortopedica y traumatologia
|July 14, 2023
概括
经过内部固定的骨平原骨折 (TPF) 的术后感染率为11.3%. 关键的风险因素包括开放性骨折,严重的骨折类型和长时间的缺血,突出显示了改善患者结果的领域.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
- 预防传染病 预防传染病
背景情况:
- 骨平原骨折 (TPF) 对术后感染具有重大风险,其发生率高于其他骨折类型.
- 在TPF骨质合成后感染的发生率在5%至12%之间.
研究的目的:
- 为了确定手术后感染率的患者接受骨平原骨折的内部固定.
- 为了确定与TPF手术后发展感染相关的特定风险因素.
主要方法:
- 一项回顾性队列研究分析了124名在2015年至2020年期间患有TPF骨质合成的患者.
- 根据手术后感染的存在或不存在来分组患者.
- 收集的数据包括人口统计,骨折特征,手术参数和重新手术细节.
主要成果:
- 全球感染率为11.3% (124名患者中有14人).
- 确定的感染风险因素包括开口骨折,Schatzker V和VI骨折类型以及外部固定使用.
- 加长的手术内缺血时间也是显著的手术风险因素.
结论:
- 该研究证实,在骨平原骨折骨质合成后,感染率为11.3%.
- 诸如糖尿病,开口骨折,外部固定,严重的沙茨克尔分类和较长的缺血时间等因素会增加感染风险.
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