手术前关节胀以及关节骨折手术后的术后伤口并发症的影响
Anthony M Silva1,2, Helena Franco1,2,3, Tom P Walsh4
1Department of Orthopaedic Surgery, Gold Coast University Hospital, Southport, Australia.
Foot & ankle orthopaedics
|July 14, 2025
概括
手术前关节胀和延迟手术不会增加关节骨折固定后的伤口并发症. 年龄和女性性别与并发症有关,而视觉胀评估的可靠性不佳. 在某些特定情况下,推迟因胀而进行手术可能不必要.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科手术是什么
- 脚骨折的管理管理
背景情况:
- 脚骨折胀通常被认为需要延迟手术固定,因为人们担心伤口并发症增加.
- 目前的做法缺乏明确的指导方针,以基于胀严重程度或测量方法的最佳时间进行手术干预.
研究的目的:
- 为了研究手术前关节胀对关节骨折手术后术后伤口并发症的影响.
- 评估主观视觉胀评估与客观定量测量之间的相关性.
主要方法:
- 对接受关闭单侧脚骨折手术治疗的患者进行前性队列研究.
- 用视觉尺度和经过验证的"8的数字"技术测量部胀.
- 在术后2,6周和12周进行标准化随访.
主要成果:
- 伤口并发症率为8.75%,没有发现与定量胀,视觉评估或手术时间的显著关联.
- 增加年龄和女性性别被确定为创伤并发症的危险因素.
- 视觉胀的评估表明,与定量测量结果的相关性较差或中等.
结论:
- 在这项研究中,手术前关节胀和延迟的手术干预与增加的伤口并发症无关.
- 视觉胀评估是确定手术准备的不可靠工具.
- 仅仅因为残留的胀而推迟手术可能对精心挑选的脚骨折患者是不必要的.
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