Roennegaard Anders Bo, Jensen Signe Steenstrup, Tengberg Peter Toft, Gundtoft Per Hviid, Viberg Bjarke
Department of Orthopedic Surgery and Traumatology, Kolding Hospital (part of Hospital Lillebaelt), Kolding; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.
Department of Orthopedic Surgery, Hvidovre Hospital, Denmark.
Acta Orthop. 2025 Apr 14;96:304-309. doi: 10.2340/17453674.2025.43446.
Reports on the risk of secondary surgery in fracture-related surgery are scarce in the literature. The aim of this study was to estimate the risk of any secondary musculoskeletal surgery within 2 years of primary, fracture-related surgery.
We performed a nationwide register study on adult Danish patients surgically treated for fractures in 2016 with 2 years' follow-up. We used cross-linked data from the Danish Fracture Database, the Danish National Patient Registry and the Danish Civil Registration System. Primary outcome was risk of secondary surgery calculated by the cumulative incidence function and presented with 95% confidence intervals (CI) overall and stratified on age, sex, and anatomical area.
We included 9,719 adult patients of whom 63% were female and median age was 70 years (20-100). The overall risk of secondary musculoskeletal surgery in the same anatomical area as the primary was 20% (CI 19-21), for reoperation (i.e., pertaining to the initial treatment) 19% (CI 18-20), and for major reoperation (due to complication of the initial treatment) 8% (CI 7-8). Across anatomical areas risk ranged from 4% (CI 1-9) to 69% (CI 66-73) for secondary surgery, from 4% (CI 1-9) to 68% (CI 65-72) for reoperations, and from 2% (CI 0-6) to 26% (CI 19-33) for major reoperation.
The risk of experiencing a major postoperative complication that needs surgical treatment is below 10%.
骨折相关手术中二次手术风险的报告在文献中较为少见。本研究的目的是评估初次骨折相关手术后2年内进行任何二次肌肉骨骼手术的风险。
我们对2016年接受手术治疗骨折的丹麦成年患者进行了一项全国性登记研究，并进行了2年的随访。我们使用了来自丹麦骨折数据库、丹麦国家患者登记处和丹麦民事登记系统的交叉链接数据。主要结局是通过累积发病率函数计算的二次手术风险，并给出总体以及按年龄、性别和解剖区域分层的95%置信区间（CI）。
我们纳入了9719名成年患者，其中63%为女性，中位年龄为70岁（20 - 100岁）。与初次手术在同一解剖区域进行二次肌肉骨骼手术的总体风险为20%（CI 19 - 21），再次手术（即与初始治疗相关）的风险为19%（CI 18 - 20），重大再次手术（由于初始治疗并发症）的风险为8%（CI 7 - 8）。在各个解剖区域，二次手术的风险范围为4%（CI 1 - 9）至69%（CI 66 - 73），再次手术的风险范围为4%（CI 1 - 9）至68%（CI 并给出总体以及按年龄、性别和解剖区域分层的95%置信区间（CI）。
我们纳入了9719名成年患者，其中63%为女性，中位年龄为70岁（20 - 100岁）。与初次手术在同一解剖区域进行二次肌肉骨骼手术的总体风险为20%（CI 19 - 21），再次手术（即与初始治疗相关）的风险为19%（CI 18 - 20），重大再次手术（由于初始治疗并发症）的风险为8%（CI 7 - 8）。在各个解剖区域，二次手术的风险范围为4%（CI 1 - 9）至69%（CI 66 - 73），再次手术的风险范围为4%（CI 1 - 9）至68%（CI 65 - 72），重大再次手术的风险范围为2%（CI 0 - 6）至26%（CI 19 - 33）。
发生需要手术治疗的重大术后并发症的风险低于10%。 65 - 72），重大再次手术的风险范围为2%（CI 0 - 6）至[此处原文可能有误，推测应为26%（CI 19 - 33）]。
发生需要手术治疗的重大术后并发症的风险低于10%。
