Pilon骨折术后感染的危险因素分析

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (456 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analyze the risk factors of surgical site infection in Pilon fracture.Methods From January 2005 to December 2019，621 patients with Pilon fracture were treated with open reduction and internal fixation.According to the surgical site infection，the patients were divided into two groups：infection group (n＝39)，including male (n＝26) and female (n＝13)，with an average age of (43.4±13.5)years(range from 20 to 72 years)，and non-infection group (n＝582)，including 303 males and 279 females，with an average age of (42.1±12.0)years(range from 19 to 71 years).Age，sex，smoking，BMI，diabetes，alcohol consumption，hypertension，soft tissue injury，operation time，blood transfusion，and drainage time were included in the possible risk factors.The statistical method was univariate analysis first，and then multivariate Logistic regression analysis was used to analyze the significant risk factors.Results The rate of surgical site infection of Pilon fracture was 6.28%.Univariate analysis showed that there were significant differences in diabetes，operation time and soft tissue injury between infection group and non-infection group，while multivariate Logistic regression analysis found that only operation time was significantly correlated with operation site infection (P＜0.01).Conclusion Operation time is an independent predictor of surgical site infection after open reduction and internal fixation of Pilon fracture.Although severe soft tissue injury can increase the infection rate of surgical site，it is not an independent predictor of surgical site infection after open reduction and plate internal fixation of Pilon fracture.

Key words： Pilon fracture surgical site infection risk factors

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2021/V27/I7/598

［1］Helm U.Morphological features for evaluation and classification of pilon tibial fractures［M］.Berlin Heidelberg New York：Springer-Verlag，1993：29-41.
［2］Rtiedi TP，Buckley RE，Moran CG.骨折治疗的AO原则［M］.危杰，刘瑶，吴新宝，等译.第2版.上海：上海科技出版社，2010：638-649.
［3］李岩袁志.3D打印成型技术在复杂pilon骨折中的应用［J］.中华创伤骨科杂志，2016，18(1)：42-46.
［4］Wilson Jr LS，Mizel MS，Michelson JD.Foot and ankle injuries in motor vehicle accidents［J］.Foot Ankle Int，2001，22(8)：649-652.
［5］Funk JR，Crandall JR，Tourret LJ，et al.The axial injury tolerance of the human foot/ankle complex and the effect of achilles tension［J］.J Biomech Eng，2002，124(6)：750-757.
［6］方跃，梁羽，屠重棋，等.Pilon骨折手术部位感染的危险因素分析［C］.第十届西部骨科论坛暨第九届云南省骨科年会，2014：530.
［7］杨彪，王瑶，赵晓光，等.踝关节和Pilon骨折手术部位感染危险因素［J］.中国感染控制杂志，2015，14(12)：818-820.
［8］Sirkin M，Sanders R，DiPasquale T，et al.A staged protocol for soft tissue management in the treatment of complex pilon fractures［J］.J Orthop Trauma，2004，18(8)：S32-S38.
［9］Boraiah S，Kemp TJ，Erwteman A，et al.Outcome following open reduction and internal fixation of open pilon fractures［J］.J Bone Joint Surg (Am)，2010，92(2)：346352.
［10］Tscherne H，Gotzen L.Fractures with soft tissue injuries［M］.Berlin：SpringerVerlag，1984：1-58.
［11］Liporace FA，Mehta S，Rhorer AS，et al.Staged treatment and associated complications of pilon fractures［J］.Instr Course Lect，2012(61)：53-70.
［12］Dunbar RP，Barei DP，Kubiak EN，et al.Early limited internal fixation of diaphyseal extensions in select pilon fractures：Upgrading AO/OTA type C fractures to AO/OTA type B［J］.J Orthop Trauma，2008，22(6)：426-429.
［13］孙东东，刘群，孙明林.骨科损伤控制理念指导下应用克氏针结合外固定支架治疗胫腓骨远端开放性骨折［J］.中华创伤骨科杂志，2018，20(9)：768-773.
［14］中华医学会骨科学分会创伤骨科学组，中华医学会骨科学分会外固定与肢体重建学组，中国医师协会创伤外科医师分会创伤感染专业委员会，等.中国开放性骨折诊断与治疗指南(2019版)［J］.中华创伤骨科杂志，2019，21(11)：921-928.
［15］Ren T，Ding L，Xue F，et al.Risk factors for surgical site infection of pilon fractures［J］.Clinics (Sao Paulo)，2015，70(6)：419-422.
［16］Wukich DK，Joseph A，Ryan M，et al.Outcomes of ankle fractures in patients with uncomplicated versus complicated diabetes［J］.Foot Ankle Int，2011，32(2)：120-130.