Wiewiorski Martin, Barg Alexej, Hoerterer Hubert, Voellmy Thomas, Henninger Heath B, Valderrabano Victor
Orthopaedic Department, University Hospital of Basel, Basel, Switzerland.
Department of Orthopaedics, University of Utah, Salt Lake City, UT, USA
Foot Ankle Int. 2015 May;36(5):479-87. doi: 10.1177/1071100714565792. Epub 2014 Dec 30.
The aim of this study was to quantify the incidence of postoperative wound complications in elective foot and ankle surgery as well as the risk factors for postoperative wound complications.
Two hundred ninety-five elective orthopaedic foot and ankle operative procedures were performed in 290 patients between January 2006 and June 2010. A logistic multiple regression model was used to identify independent risk factors for postoperative wound healing complications/infection.
The overall prevalence of postoperative wound complications within our cohort was 16.9%. In 4 patients (1.4%) deep infection was diagnosed requiring operative irrigation and debridement. Using a logistic multiple regression model we identified the following statistically independent risk factors: age ≥ 60 years (OR = 8.98, 95% CI = 3.55 to 25.02), tobacco use (OR = 48.77, 95% CI = 15.55 to 139.71), and tourniquet time ≥ 90 minutes (OR = 7.02, 95% CI = 2.77 to 19.32).
Patients at risk for postoperative wound healing complications following elective orthopaedic foot and ankle surgery include those with higher age, tobacco use, and prolonged use of tourniquet.
Prognostic Level III, comparative study.
本研究旨在量化择期足踝手术术后伤口并发症的发生率以及术后伤口并发症的危险因素。
2006年1月至2010年6月期间，对290例患者进行了295例择期足踝骨科手术。采用逻辑多元回归模型确定术后伤口愈合并发症/感染的独立危险因素。
我们队列中术后伤口并发症的总体发生率为16.9%。4例患者（1.4%）被诊断为深部感染，需要进行手术冲洗和清创。使用逻辑多元回归模型，我们确定了以下具有统计学意义的独立危险因素：年龄≥60岁（OR = 8.98，95%CI = 3.55至25.02）、吸烟（OR = 48.77，95%CI = 15.55至139.71）以及止血带使用时间≥90分钟（OR = 7.02，95%CI = 2.77至19.32）。
择期足踝骨科手术后有术后伤口愈合并发症风险的患者包括年龄较大、吸烟以及止血带使用时间延长的患者。
预后III级，比较性研究。
