在术后阿基里斯肌感染后的管理和功能结果:回顾一系列病例
Saanchi K Kukadia1, David J Cho1, Cordelia P Burn1
1Hospital for Special Surgery, New York, NY, USA.
Foot & ankle international
|November 19, 2025
概括
阿基里斯肌手术感染可以有效地管理,但患者可能会经历持久的疼痛和功能缺陷. 早期,积极的治疗改善了恢复,尽管结果可能与未感染的患者不完全匹配.
科学领域:
- 整形外科手术 整形外科手术
- 传染病管理 传染病管理
- 肌肉骨健康 肌肉骨健康
背景情况:
- 在历史上,阿基里斯肌手术的感染率很高,原因是血管系统不良.
- 新的外科手术感染控制策略可以减轻相关的发病率.
- 术后感染的有效管理可以使患者在最小的疼痛下达到高功能水平.
研究的目的:
- 评估在阿基里斯肌手术后患上术后感染的患者的功能结果和疼痛水平.
- 为了比较感染患者的结果与未感染患者的队列.
- 在阿基里斯肌手术中识别感染的风险因素.
主要方法:
- 对阿基里斯肌手术 (2011-2020年) 的回顾性图表审查.
- 确定患有需要重新手术的术后伤口感染的患者.
- 临床结果的评估,抗生素的使用和PROMIS (患者报告结果测量信息系统) 评分至少在术后1年.
主要成果:
- 在1148名患者中,有2.0%患上了术后感染;在慢性病例中使用植入物显著增加了感染风险 (8.96%).
- 受感染的患者报告PROMIS的身体功能 (46.9比51.6) 和疼痛干扰 (52.1比48.1) 评分明显降低.
- 在18个月后,78.78%的感染患者可以轻松地脚行走.
结论:
- 术后阿基里斯肌感染的早期和积极管理导致了良好的康复.
- 尽管治疗有效,但感染患者在2年的随访中,与未感染的同龄人相比,身体功能持续出现缺陷,疼痛增加.
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