在肢体骨折后非强制性计划性硬件移除后并发症的流行病学
Guillaume Villatte1, Arthur Haverlan2, Marie Le Baron3
1Université Clermont Auvergne, CHU Clermont-Ferrand, CNRS, SIGMA Clermont, ICCF, F-63000 Clermont-Ferrand, France; Service d'orthopédie-traumatologie, CHU Montpied Clermont-Ferrand, 63000 Clermont-Ferrand, France.
Orthopaedics & traumatology, surgery & research : OTSR
|October 21, 2024
概括
在骨折后进行常规的硬件移除具有显著的并发症率,包括重大问题. 患者需要在手术前充分了解风险与益处的信息.
科学领域:
- 整形外科手术 整形外科手术
- 患者安全 患者安全
背景情况:
- 骨折后硬件移除 (HR) 是患者经常要求的,但其发生率和必要性各不相同.
- 常规HR的好处和风险尚未明确,影响了最佳的手术前患者咨询.
研究的目的:
- 为了确定肢体骨折后非强制性,计划性硬件切除后重大和轻微并发症的发生率.
主要方法:
- 一项长达10年的回顾性单中心研究分析了1990名接受常规HR治疗的患者.
- 收集的数据包括患者人口统计数据,骨质合成材料细节和术后并发症 (重大/轻微) 与至少一年的随访.
主要成果:
- 总体而言,4.1%的患者出现并发症,1.56%出现重大并发症,1.06%需要手术修复.
- 深度感染和皮肤愈合障碍是最常见的 (69.6%).
- 膝盖和脚周围的并发症更为频繁;吸烟是深部感染的重要危险因素 (OR=8.7).
结论:
- 非强制性的常规硬件移除具有显著的并发症率,即使在健康个体中.
- 进行全面的手术前患者信息和风险效益评估至关重要.
- 该研究建议在硬件摘除手术前考虑强制戒烟.
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