Vince Kelly, Chivas Dan, Droll Kurt P
Keck School of Medicine, University of Southern California, Los Angeles, California.
J Arthroplasty. 2007 Jun;22(4 Suppl 1):39-44. doi: 10.1016/j.arth.2007.03.014.
Some wound complications can be prevented with attention to patient, surgical, and postoperative factors; others develop despite all efforts. Some practices that affect wound healing, such as the use of drains and methods of thromboprophylaxis are contentious. Superficial wound problems must always be discriminated from deep infection, which is not the focus of this article. Wound complications require prompt attention. As there is little morbidity from early irrigation and debridement of problem total knee arthroplasties (Weiss AP, Krackow KA. Persistent wound drainage after primary total knee arthroplasty. J Arthroplasty. 1993;8(3):285-9), early intervention is generally preferred.
关注患者、手术及术后因素可预防一些伤口并发症；而有些并发症即便竭尽全力仍会出现。一些影响伤口愈合的做法，如引流管的使用及血栓预防方法存在争议。浅表伤口问题必须始终与深部感染相区分，深部感染并非本文重点。伤口并发症需要及时处理。由于早期冲洗和清创全膝关节置换术问题伤口的发病率较低（Weiss AP，Krackow KA。初次全膝关节置换术后持续伤口引流。关节置换术杂志。1993；8(3)：285 - 289），一般更倾向于早期干预。
