Institute of Orthopedics, Fondazione Policlinico Universitario Agostino Gemelli - IRCCS, Largo Agostino Gemelli 8, Rome, Italy.
Institute of Orthopedics, Università Cattolica del Sacro Cuore - Largo Francesco Vito 1, Rome, Italy.
J Biol Regul Homeost Agents. 2020 May-Jun;34(3 Suppl. 2):77-81. ADVANCES IN MUSCULOSKELETAL DISEASES AND INFECTIONS - SOTIMI 2019.
Proximal femur fractures are increasing, together with the aging of world population. One of the complications worsening this condition is infection. In this study, we try to identify risk factors that can lead to infection. We identified 122 patients with femoral neck fracture. The occurrence of infectious events were recorded (respiratory, urinary, superficial wound and periprostethic infection). There were 15 infections, mostly urinary and pulmonary, and all were treated using antibiotics. No statistical differences were found between infection and control group regarding waiting time for surgery, mean time of surgery, age, kind of fracture, type of surgery. Fever onset >38° within 72 hours from surgery was statistically correlated with early infections. Future studies must be led to identify risk factors for infection and to create a strategy to prevent this possibly lethal complication.
股骨颈骨折随着世界人口老龄化而不断增加。其中一种会使病情恶化的并发症是感染。在这项研究中，我们试图确定可能导致感染的风险因素。我们共确定了 122 名股骨颈骨折患者。记录了感染性事件的发生情况（呼吸道、尿路、浅表伤口和假体周围感染）。共有 15 例感染，主要为尿路感染和肺部感染，均采用抗生素治疗。手术等待时间、手术时间、年龄、骨折类型、手术类型等方面，感染组与对照组之间无统计学差异。术后 72 小时内体温 >38°C 与早期感染有统计学相关性。未来的研究必须确定感染的危险因素，并制定预防这种可能致命并发症的策略。
