Liu Shuyang, Andrews Samantha N, Morikawa Landon H, Matsumoto Maya Y, Mathews Kristin A, Nakasone Cass K
John A Burns School of Medicine, 651 Ilalo Street, Honolulu, HI, 96813, USA.
University of Hawai'i, Department of Surgery, 1356 Lusitana Street, Honolulu, HI, 96813, USA.
J Orthop. 2021 Sep 22;27:141-144. doi: 10.1016/j.jor.2021.09.009. eCollection 2021 Sep-Oct.
Surgical site infections, defined as acute wound infections requiring surgical intervention within 90 days post-surgery, were retrospectively compared between a novel, zipper-like closure method (ZM) and staples in 682 patients (904 knees) and 772 patients (971 knees), respectively. The incidence of deep infections was 0.6% for staples and 0.2% for ZM (p = 0.169) and superficial infections was 0.1% for staples and 0.0% for ZM (p = 0.518). With no difference in wound complications, the ZM may be preferred since the two-week post-operative clinic visit required for wound check and staple removal was eliminated, thereby, decreasing clinic volume.
手术部位感染定义为术后90天内需要手术干预的急性伤口感染,分别对682例患者(904个膝关节)采用新型拉链式闭合方法(ZM)和772例患者(971个膝关节)采用吻合钉进行了回顾性比较。吻合钉组深部感染发生率为0.6%,ZM组为0.2%(p = 0.169);吻合钉组浅表感染发生率为0.1%,ZM组为0.0%(p = 0.518)。由于伤口并发症无差异,ZM可能更受青睐,因为省去了术后两周伤口检查和拆除吻合钉所需的门诊就诊,从而减少了门诊量。