受伤后手术等待时间影响踝关节骨折术后的功能结果和并发症：一项倾向评分匹配的多中心研究，TRON 研究。
The Wait Time for Surgery Following Injury Affects Functional Outcomes and Complications After an Ankle Fracture: A Propensity Score-Matched Multicenter Study, the TRON Study.
机构信息
Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Department of Orthopaedic Surgery, Chubu Rosai Hospital, Nagoya, Japan.
出版信息
Foot Ankle Spec. 2024 Dec;17(6):592-597. doi: 10.1177/19386400231164211. Epub 2023 Apr 15.
BACKGROUND
The present study aimed to evaluate the hypothesis that a 1-week extension of the waiting period to perform surgery for ankle fracture might affect postoperative results and complications.
METHODS
We used our multicenter database named TRON (Trauma Research Group of Nagoya). In all, 779 patients who underwent surgery for ankle fracture, who had no comorbidities were eligible. After exclusion, we analyzed 596 patients. We divided the patients into 2 groups according to whether they were operated on within 7 days after the injury with propensity score matching.
RESULTS
The operative time of the delayed operation group (DO group) was significantly longer than that of the early operation group (EO group) (115.87 ± 56.59 vs 85.93 ± 34.58 minutes; P < .001). The rate of infection in the DO group was significantly higher than that of the EO group (16 patients [6.5%] vs 4 patients [1.6%]; P = .016).
CONCLUSION
Waiting for more than a week to perform ankle surgery may lead to longer operative times and increased infection rates.
LEVELS OF EVIDENCE
III.
背景
本研究旨在验证这样一个假设，即延长踝关节骨折手术的等待期一周可能会影响术后结果和并发症。
方法
我们使用了我们的多中心数据库 TRON（名古屋创伤研究小组）。所有符合条件的患者均为无合并症的踝关节骨折手术患者。排除后，我们分析了 596 名患者。我们根据受伤后是否在 7 天内进行手术，通过倾向评分匹配将患者分为两组。
结果
延迟手术组（DO 组）的手术时间明显长于早期手术组（EO 组）（115.87 ± 56.59 分钟 vs 85.93 ± 34.58 分钟；P <.001）。DO 组的感染率明显高于 EO 组（16 例 [6.5%] 比 4 例 [1.6%]；P =.016）。
结论
等待超过一周进行踝关节手术可能会导致手术时间延长和感染率增加。
证据水平
III 级。
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