Maimonides Medical Center, Department of Orthopedic Surgery, Brooklyn, NY, USA.
Maimonides Medical Center, Department of Orthopedic Surgery, Brooklyn, NY, USA.
Foot Ankle Surg. 2021 Dec;27(8):879-883. doi: 10.1016/j.fas.2020.11.008. Epub 2020 Nov 30.
The purpose of this study was to analyze a comprehensive database to 1) compare patient demographic profiles; and 2) identify patient-related risk factors for surgical site infections (SSIs) following open reduction and internal fixation (ORIF) for lateral malleolar ankle fractures.
Patients treated with ORIF for lateral malleolar ankle fractures that developed SSIs within 1-year following the procedure were identified. Study group demographics were compared to a control cohort and risks for developing SSI were calculated using multivariate logistic regression analysis.
There were statistically significant differences between the control group and patients with SSIs. The study showed that morbidly obese patients, peripheral vascular disease, and electrolyte/fluid imbalance were the greatest risk factors for developing SSIs following ORIF for lateral malleolar fractures.
The study is useful as it can allow orthopaedists to optimize these high-risk patients to potentially mitigate this adverse event.
本研究旨在分析一个综合数据库，以 1）比较患者的人口统计学特征；2）确定接受切开复位内固定术（ORIF）治疗外侧踝骨骨折后发生手术部位感染（SSI）的患者相关危险因素。
确定在手术后 1 年内发生 SSI 的接受 ORIF 治疗的外侧踝骨骨折患者。比较研究组的人口统计学特征与对照组，并使用多变量逻辑回归分析计算发生 SSI 的风险。
对照组与 SSI 患者之间存在统计学显著差异。研究表明，病态肥胖患者、外周血管疾病和电解质/液体失衡是接受 ORIF 治疗外侧踝骨骨折后发生 SSI 的最大危险因素。
该研究具有实用性，因为它可以让骨科医生对这些高风险患者进行优化，以潜在地减轻这种不良事件。
