探索片类型和感染在下肢骨折中的联系
Kylie R Swiekatowski1, Stephen F Parlamas1, Ellen B Wang1
1McGovern Medical School at the University of Texas Health Science Center, Houston, Texas, United States.
Journal of reconstructive microsurgery
|November 5, 2025
概括
对于开放的下肢骨折,肌肉和皮带片都显示出类似的感染率和结果. 片选择应优先考虑受伤和患者因素,而不仅仅是感染风险.
科学领域:
- 整形外科手术 整形外科手术
- 整形外科 整形外科 整形外科
- 重建性手术是一种重建性手术.
背景情况:
- 从历史上看,肌肉被偏爱于开放性骨折和暴露的硬件.
- 肌肉和肌皮 (FC) 板现在在下肢重建中很常见.
- 这些类型之间的比较感染率仍然不清楚.
研究的目的:
- 为了比较肌肉和FC在开放LE骨折的自由重建中的术后感染率.
- 评估其他结果,如重新手术,住院,行走和截肢率.
主要方法:
- 从2011-2021年对164名患者 (≥18岁) 进行回顾性审查,这些患者因开放的LE骨折接受了片重建.
- 收集的数据包括人口统计,损伤特征和外科手术期间的因素.
- 主要结局:术后感染,需要在9个月内进行无计划的外科洗.
主要成果:
- 总体感染率为23.2%,肌肉 (25.6%) 和FC板 (20.5%) 之间没有显著差异.
- 在多变量分析中,片类型不是术后感染的预测因素.
- 重复手术,住院,行走时间和截肢率在类型之间是相似的.
结论:
- 肌肉和FC板在重建开放的LE骨折时显示了可比的感染率和并发症概况.
- 片选择应根据损伤特征,患者因素和重建目标进行个性化选择.
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