Saud Abdul Munaf, Raza Tauseef, Kamran Muhammad, Adeel Muhammad, Abidi Syed Abdur Rub, Khan Abdul Rehman, Taha Ahmed Syed, Hassan Syed Muhammad Tayyab
Orthopedic Surgery, Bahawal Victoria Hospital, Bahawalpur, PAK.
Orthopedics, KMU Institute of Medical Sciences, Kohat, PAK.
Cureus. 2024 Jul 29;16(7):e65640. doi: 10.7759/cureus.65640. eCollection 2024 Jul.
Orthopedic traumatology, a vital component of orthopedic surgery, poses significant challenges in managing complications and necessitating revision surgeries. These challenges impact clinical outcomes, healthcare economics, and patient well-being.
This study aimed to provide insights that informed clinical decision-making and improved patient outcomes by thoroughly examining the range of complications encountered in orthopedic traumatology. Specifically, the research focused on the indications, techniques, and outcomes of revision surgeries.
This retrospective cohort research looked at orthopedic traumatology complications and revision procedures over a thorough two-year period from March 2021 to March 2023 at Hayatabad Medical Complex in Peshawar, Pakistan. The following information was gathered from 316 patients receiving orthopedic surgery for traumatic injuries: demographics, kinds of trauma, surgical methods, complications, indications, methods, and results of revision surgery. For data analysis, chi-square tests and descriptive statistics were used, with the goal of finding patterns and correlations within the research population.
The average age of the 316 patients was 42.5 years, and 64.76% of them were male (n = 192). The most frequent kind of trauma (n = 218; 69.01%) was fractures, which were mostly brought on by falls (n = 147; 46.52%). The most common surgical method (n = 138; 43.67%) was found to be internal fixation, which was followed by external fixation (n = 67; 21.20%). The most common complication (n = 78; 24.68%) was surgical site infection, which resulted in revision procedures mostly for infection (n = 68; 21.52%) and implant failure (n = 56; 17.72%). Debridement was the most often used revision approach (n = 95; 30.10%), and it was substantially correlated with surgical outcomes, such as increased function (31%) and full resolution (36%).
This research emphasizes the need to maximize patient outcomes for improved well-being and highlights the crucial role that careful care plays in managing complications and revision operations in orthopedic traumatology.
骨科创伤学是骨外科的重要组成部分，在处理并发症和进行翻修手术方面面临重大挑战。这些挑战会影响临床结果、医疗经济学和患者福祉。
本研究旨在通过全面检查骨科创伤学中遇到的各种并发症，为临床决策提供参考并改善患者预后。具体而言，该研究聚焦于翻修手术的适应症、技术和结果。
这项回顾性队列研究考察了2021年3月至2023年3月在巴基斯坦白沙瓦哈亚塔巴德医疗中心为期两年的骨科创伤并发症及翻修手术情况。从316例接受创伤性损伤骨科手术的患者中收集了以下信息：人口统计学资料、创伤类型、手术方法、并发症、翻修手术的适应症、方法和结果。数据分析采用卡方检验和描述性统计，目的是在研究人群中找出模式和相关性。
316例患者的平均年龄为42.5岁，其中64.76%为男性（n = 192）。最常见的创伤类型（n = 218；69.01%）是骨折，主要由跌倒引起（n = 147；46.52%）。最常见的手术方法（n = 138；43.67%）是内固定，其次是外固定（n = 67；21.20%）。最常见的并发症（n = 78；24.68%）是手术部位感染，导致翻修手术的主要原因是感染（n = 68；21.52%）和植入物失败（n = 56；17.72%）。清创术是最常用的翻修方法（n = 95；30.10%），并且与手术结果显著相关，如功能改善（31%）和完全恢复（36%）。
本研究强调为改善患者福祉需最大化患者预后，并突出了精心护理在骨科创伤学并发症处理和翻修手术中所起的关键作用。
