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踝关节骨折需手术再次干预患者的患病率及特征

Prevalence and Characteristics of Patients Requiring Surgical Reinterventions for Ankle Fractures.

作者信息

Reyes-Valdés Abraham, Martínez-Ledezma Mirna, Fernández-Quezada David, Guzmán-Esquivel José, Cárdenas-Rojas Martha Irazema

机构信息

Hospital General de Zona No. 1, Instituto Mexicano del Seguro Social, Av. Lapislázuli No. 250 Colonia La Haya, Villa de Álvarez, Colima 28984, Mexico.

Centro Universitario de Ciencias de la Salud (CUCS), Laboratorio de Microscopía de Alta Resolución, Departamento de Neurociencias, Universidad de Guadalajara, Guadalajara 44340, Mexico.

出版信息

J Clin Med. 2023 Sep 8;12(18):5843. doi: 10.3390/jcm12185843.

Abstract

(1) Background: Ankle fractures are common injuries that typically require surgical treatment. Complications may arise, leading to reinterventions with poor recovery and reduced quality of life for patients. The aim of this study was to determine the number of patients who underwent surgical reintervention for ankle fractures, characteristics, and associated factors. (2) Methods: A cross-sectional study was conducted to analyze the number of patients requiring surgical intervention for ankle fractures at General Hospital Zone No1 IMSS in Colima over a period of two years. The age, gender, comorbidities, laterality, cause of surgical reintervention, Weber classification, and elapsed time to reintervention were analyzed. (3) Results: A total of 33 patients were included in this study, of whom 63.3% were male, ranging in age from 18 to 51 years old. The predominant Danis-Weber classification for both sexes was suprasyndesmotic fracture (Type C). No established relationship was found between comorbidities and surgical reintervention; however, a significant relationship was observed between home accidents and the need for reintervention. (4) Conclusions: Reintervention in patients previously operated on for ankle fractures is more frequent in male patients and those who sustained the injury at home.

摘要

(1) 背景:踝关节骨折是常见损伤,通常需要手术治疗。可能会出现并发症,导致患者再次接受手术干预,恢复不佳且生活质量下降。本研究的目的是确定接受踝关节骨折手术再干预的患者数量、特征及相关因素。(2) 方法:进行一项横断面研究,分析科利马市第一综合医院区在两年时间内踝关节骨折需要手术干预的患者数量。对年龄、性别、合并症、患侧、手术再干预原因、Weber 分类以及再干预间隔时间进行分析。(3) 结果:本研究共纳入 33 例患者,其中 63.3%为男性,年龄在 18 至 51 岁之间。男女最主要的 Danis-Weber 分类均为下胫腓联合以上骨折(C 型)。未发现合并症与手术再干预之间存在既定关系;然而,观察到家庭意外与再干预需求之间存在显著关系。(4) 结论:既往接受过踝关节骨折手术的患者中,男性以及在家中受伤的患者再次手术干预更为频繁。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf65/10532131/8cee68b65ced/jcm-12-05843-g001.jpg

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