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感染风险和转换时间从外部到最终固定在开放的骨骨折

Wazzan S Aljuhani^1,2,3, Yasir A Alshabi⁴, Abdullah M Alanazi^1,2

¹Department of Orthopedic Surgery, Ministry of the National Guard - Health Affairs, Riyadh, Saudi Arabia.

Journal of orthopaedic surgery and research

|December 22, 2024

概括

延迟从外部固定转化为开放的小腿骨轴骨折的最终内部固定,会显著增加感染率. 迅速转换对于最佳的患者结果和减少感染风险至关重要.

科学领域:

整形外科手术整形外科手术
创伤管理创伤管理
预防传染病预防传染病

背景情况:

开放的骨骨折是常见的和危险的,感染是主要的担忧.
这些骨折的有效管理对于成功的临床结果至关重要.
本研究研究了外部固定时间对感染率和结合率的影响.

研究的目的:

为了确定临时外部固定持续时间对开放的骨骨折中感染和结合率的影响.
确定转换到最终内部固定的最佳时间.

主要方法:

对55名带有开放的骨骨折的患者进行了回顾性研究,这些患者接受了临时外部固定治疗.
根据转化时间,患者被分为四组:<12,12-24,25-36,>36天.
在四个组中分析了感染率.

主要成果:

感染率分别为12.8%,18.2%,50%和100%,转化时间分别为<12,12-24,25-36和>36天.
在转化时间和感染发生率之间发现了统计学上显著的关系 (P=0.004).
没有观察到感染和抗生素持续时间或初始除菌时间之间的关联.

结论:

长时间的外部固定增加了开放的骨轴骨折感染的风险.
当条件允许时,建议立即转换为最终的内部固定,以尽量减少感染的可能性.
及时的外科干预是改善复杂骨折管理结果的关键.

关键词:

格斯蒂洛的分类方式感染感染感染开放式骨折是一个开放式的骨折.暂时的外部固定装置骨轴骨折骨轴骨折骨轴骨折创伤是一个创伤.

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