Miller W A
Foot Ankle. 1983 Sep-Oct;4(2):102-4. doi: 10.1177/107110078300400211.
In 20 years through 1981, the author performed 1841 clean foot and ankle operations without any prophylactic antibiotics. Excluded from this study group are patients with compound fractures or open wounds, prior infection, toenail procedures, and other superficial operations. All postoperative wound infections were recorded in a timely manner and healing was documented. Infections occurred in 41 cases (gross infection rate, 2.2%). Thirty-seven cases healed without further surgery and without sequellae from the infection. Three cases required further surgery. One patient developed narrowing of the ankle joint (permanent damage rate, 0.05%). These four patients represent 0.22% of the study group.
截至1981年的20年间，作者实施了1841例足部和踝关节清洁手术，均未使用预防性抗生素。复合骨折或开放性伤口患者、既往有感染史者、趾甲手术患者以及其他浅表手术患者被排除在该研究组之外。所有术后伤口感染均及时记录，并记录愈合情况。发生感染41例（总感染率为2.2%）。37例未经进一步手术即愈合，且无感染后遗症。3例需要进一步手术。1例患者出现踝关节狭窄（永久性损伤率为0.05%）。这4例患者占研究组的0.22%。
