手术前使用大麻和脚ORIF结果:感染,非联合和重新手术的风险更高
Sri Tummala1,2, Brandon A Wood3, Mehul M Mittal3
1Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Foot & ankle international
|November 17, 2025
概括
手术前使用大麻显著增加了脚骨折手术后的并发症,包括感染,非联合和重新手术. 这凸显了需要解决大麻使用作为可修改的风险因素,以获得更好的外科手术结果的需要.
科学领域:
- 整形外科手术 整形外科手术
- 在外科手术期间的医学.
- 大麻研究 大麻研究
背景情况:
- 大麻的使用正在增加,需要了解其外科外科影响.
- 骨科研究已经探索了大麻的风险,但脚骨折固定结果仍然未经检查.
- 澄清这些风险对于管理脚骨折患者至关重要.
研究的目的:
- 调查手术前大麻使用与手术前期结局在手术脚骨折固定后的相关性.
- 与非使用者相比,在大麻使用者中确定特定的并发症和医疗保健利用模式.
主要方法:
- 对关节骨折接受开放式缩小和内部固定 (ORIF) 的患者进行回顾性队列分析.
- 对27个混因子进行控制的倾向分数匹配 (PSM),将活跃大麻使用者与非使用者进行比较.
- 评估的结果包括医疗,手术和医疗保健利用并发症,直至手术后3年.
主要成果:
- 大麻使用与更高的感染风险,伤口脱光和90天后再入院有关.
- 6个月的持续关联包括感染,败血症和硬件感染的风险增加.
- 在3岁时,大麻使用与非联合和重新手术的风险明显高.
结论:
- 手术前使用大麻与关节ORIF后的并发症大幅增加有关.
- 研究结果表明,大麻使用是可修改的外科手术期间风险因素,类似于烟草使用.
- 有针对性的患者咨询和降低风险的策略对于优化结果至关重要.
更多相关视频
07:24Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
Published on: January 23, 2018
10.7K
03:53Author Spotlight: Regenerative Peripheral Nerve Interface (RPNI) Surgery in Postamputation Pain Management
Published on: March 15, 2024
2.9K
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
360
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
360
Aneurysm IV: Nursing Management
364
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
364
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
532
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
532
Cardiomyopathy VII: Pre and Post Operative Nursing Management
268
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
268
