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预测骨骨折的开放缩小和内部固定后的手术部位感染
Jasper Tausendfreund1, Diederick Penning2, M Azad Naryapragi2
1Department of Trauma Surgery, Noordwest Clinics, Wilhelminalaan 12, 1815 JD, Alkmaar, the Netherlands.
Archives of orthopaedic and trauma surgery
|January 23, 2025
概括
开放性骨折是骨骨折手术后手术部位感染 (SSI) 的主要危险因素. 其他因素,如糖尿病和较高的ASA分数,也会增加SSI风险,尤其是深层感染.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 创伤外科 手术 创伤外科
背景情况:
- 手术部位感染 (SSI) 是脚手术的严重并发症,导致不良结果和再入院.
- 识别SSI的风险因素对于改善患者护理和关节骨折治疗中的手术结果至关重要.
研究的目的:
- 确定骨骨折手术后手术部位感染 (SSI) 的患者相关,受伤相关和治疗相关的风险因素.
主要方法:
- 在2015年至2020年期间,对929名因脚骨折而接受开放式缩小和内部固定 (ORIF) 的患者进行了回顾性分析.
- 评估表面和深层SSI率,预测因素分为患者,损伤和与治疗相关的组.
主要成果:
- 整体SSI发生率为9.36%,深度SSI为3.55%.
- 单变量分析确定了较高的年龄,糖尿病 (DM),ASA等级2-3,双/三极骨折,开口骨折和较小的板块固定作为显著的危险因素.
- 多变量分析显示,开口骨折是整体SSI的唯一独立风险因素. 对于深度SSI,独立的风险因素包括DM,ASA等级3-4和开放骨折.
结论:
- 开放性骨折是SSI最重要的独立风险因素,仅次于脚骨折的ORIF.
- 糖尿病和更高的ASA等级 (3-4) 是特别针对深度SSI的显著独立风险因素.
- 了解这些风险因素可以指导预防策略,以减少SSI的发生率,并改善脚骨折手术的结果.
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