手术治疗的Pilon骨折（AO/OTA：43）深部感染的危险因素。
Risk factors of deep infection in operatively treated pilon fractures (AO/OTA: 43).
作者信息
Molina Cesar S, Stinner Daniel J, Fras Andrew R, Evans Jason M
机构信息
Vanderbilt Department of Orthopaedic Surgery and Rehabilitation, Orthopaedic Trauma Institute, Nashville, TN 37232, United States.
出版信息
J Orthop. 2015 Feb 21;12(Suppl 1):S7-S13. doi: 10.1016/j.jor.2015.01.026. eCollection 2015 Oct.
Abstract
BACKGROUND/AIMS: The purpose of this study is to evaluate risk factors of deep infection following pilon fractures.
METHODS
This investigation was performed after gathering a six-year retrospective database from a single academic trauma center.
RESULTS
These include an overall incidence of deep infection of 16.1% (57/355). Deep infection was diagnosed at an average of 88 days (±64 days) from initial injury with a range of 10-281 days. Development of deep infection occurred in 23.2% (33/142) of open fractures, vs 11.3% (24/213) of closed fractures.
CONCLUSION
Open fractures, hypertension and male gender were associated with an increased risk of developing deep infection. In addition, even optimal surgical management may not significantly modify rates of deep surgical site infection.
摘要
背景/目的：本研究旨在评估Pilon骨折后深部感染的危险因素。
方法
本调查是在收集了来自单一学术创伤中心的六年回顾性数据库后进行的。
结果
深部感染的总体发生率为16.1%（57/355）。深部感染平均在初次受伤后88天（±64天）被诊断出来，范围为10 - 281天。开放性骨折患者中深部感染的发生率为23.2%（33/142），而闭合性骨折患者中为11.3%（24/213）。
结论
开放性骨折、高血压和男性与深部感染风险增加有关。此外，即使是最佳的手术管理也可能不会显著改变深部手术部位感染的发生率。
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