Jin Lin, Wang Zhongzheng, Zhao Kuo, Lian Xiaodong, Chen Wei, Zhang Yingze, Hou Zhiyong
Department of Orthopaedic Surgery, Third Hospital of Hebei Medical University, Shijiazhuang, China.
Key Laboratory of Biomechanics of Hebei Province, Third Hospital of Hebei Medical University, Shijiazhuang, China.
Front Surg. 2023 Mar 17;10:1133744. doi: 10.3389/fsurg.2023.1133744. eCollection 2023.
The aim of this study was to compare the clinical efficacy of close suction drainage (CSD) and no-CSD after a modified Stoppa approach for the surgical fixation of acetabular fractures.
This retrospective study included 49 consecutive acetabular fracture patients, who presented to a single level I trauma center for surgical fixation, using a modified Stoppa approach from January 2018 to January 2021. All surgeries were performed by a senior surgeon using the same approach, and the patients were divided into two groups based on whether CSD was used after the operation. Details of the patient demographics, fracture characteristics, intraoperative indicators, reduction quality, intra and postoperative blood transfusion, clinical outcomes, and incision-related complications were collected.
No significant differences were found in the demographics, fracture characteristics, intraoperative indicators, reduction quality, clinical outcomes, and incision-related complications between the two groups (> 0.05). The use of CSD was associated with a significantly higher postoperative blood transfusion volume (0.034) and postoperative blood transfusion rate (0.027). In addition, there was a significant difference in postoperative temperatures, especially on postoperative Day 2 (no-CSD 36.97 ± 0.51°C vs. CSD 37.34 ± 0.69°C, 0.035), and higher visual analogue scale (VAS) scores, especially on postoperative Day 1 (no-CSD 3.00 ± 0.93 vs. CSD 4.14 ± 1.43, 0.002) and 3 (no-CSD 1.73 ± 0.94 vs. CSD 2.48 ± 1.08, 0.013).
The results of this study suggest that routine use of CSD should not be recommended for patients with acetabular fractures after surgical fixation using a modified Stoppa approach.
本研究旨在比较改良Stoppa入路手术固定髋臼骨折后采用闭式吸引引流（CSD）与不采用CSD的临床疗效。
这项回顾性研究纳入了49例连续的髋臼骨折患者，这些患者于2018年1月至2021年1月在一家一级创伤中心接受改良Stoppa入路的手术固定。所有手术均由一名资深外科医生采用相同入路进行，患者根据术后是否使用CSD分为两组。收集了患者人口统计学、骨折特征、术中指标、复位质量、术中和术后输血情况、临床结局以及切口相关并发症的详细信息。
两组在人口统计学、骨折特征、术中指标、复位质量、临床结局和切口相关并发症方面均未发现显著差异（>0.05）。使用CSD与术后输血量大得多（0.034）和术后输血率高得多（0.027）相关。此外，术后体温存在显著差异，尤其是在术后第2天（不使用CSD组36.97±0.51°C，使用CSD组37.34±0.69°C，0.035），以及视觉模拟评分（VAS）更高，尤其是在术后第1天（不使用CSD组3.00±0.93，使用CSD组4.14±1.43，0.002）和第3天（不使用CSD组1.73±0.94，使用CSD组2.48±1.08，0.013）。
本研究结果表明，对于采用改良Stoppa入路手术固定后的髋臼骨折患者，不建议常规使用CSD。
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