脚截肢后的关节软骨-保护性屏障还是感染源? : 一个回顾性图表审查
Kelly Pirozzi1, Sahab Danesh1, Saba Kandi1
1*Carl T. Hayden Veterans' Administration Medical Center, Phoenix, AZ.
Journal of the American Podiatric Medical Association
|September 19, 2023
概括
截肢后留下关节软骨并不会增加感染风险或显著延迟愈合. 这项研究发现,在足部截肢时,无论软骨管理如何,再感染率和愈合时间都很低.
科学领域:
- 足部外科手术 足部外科手术
- 整形外科手术 整形外科手术
- 传染病管理 传染病管理
背景情况:
- 数字和射线截肢是常见的脚部感染和创伤.
- 手术选择包括保存关节软骨或暴露出出血的骨.
- 关于在截肢后管理暴露软骨的最佳方法进行了辩论.
研究的目的:
- 调查脚截肢后保护关节软骨是否会影响手术回报率和愈合时间.
- 为了比较离开软骨与重塑到出血的骨之间的结果.
- 提供第一项关于足子截肢这一主题的研究.
主要方法:
- 对脚和甲头截肢的电子医疗记录的回顾性审查.
- 包括当前程序术语的代码 28825,28820 和 28810.
- 排除多个骨质骨或多位数截肢的患者.
- 研究包括63项手术 (第1组:n=47,第2组:n=216).
主要成果:
- 两组之间治愈时间没有统计学上显著的差异 (44.0 ± 40.6天与51.7 ± 48.0天).
- 在两组中均观察到较低的再感染率 (8.51%对6.25%).
- 周围动脉疾病的患病率有所不同 (55.3%与81.3%),但与感染率无关.
结论:
- 在脚截肢后保护关节软骨不会导致感染率增加.
- 软骨保护和骨重塑技术之间的愈合时间是可比的.
- 该研究表明,基于截肢后的软骨管理,感染结果没有显著差异.
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