
Orthopaedic Surgery, Journal Year: 2024, Volume and Issue: unknown
Published: Nov. 6, 2024
ABSTRACT Purpose Infection after fracture fixation (IAFF) is a severe complication. There are few multicenter studies targeting IAFF. This paper identifies independent risk factors associated with IAFF by analyzing clinical data. Appropriate interventions should be implemented to reduce the of Methods retrospective cohort study. study screened medical records patients who underwent internal for fractures at participating institutions from January 1, 2011, December 31, 2020. Data extraction included demographic characteristics, disease features, surgical variables, and laboratory indicators. Logistic regression analysis was employed identify relationship between relevant Research data were sourced hospital's electronic record system self‐constructed databases. Results In our study, 202 experienced postoperative infections, which corresponds an overall incidence rate approximately 1.7%. The predominant pathogen identified in these infections Staphylococcus aureus . A multifactorial indicated that several independently occurrence These BMI ranges 24.0–27.9 28.0–31.9, smoking, high ASA score, high‐energy trauma, diabetes, open fracture, seasonal timing surgery (summer), bone grafting, drainage duration, duration ≥ 180 min, A/G ratio < 1.2. Conclusions We strongly recommend orthopedic surgeons perform comprehensive preoperative assessments on may increase infection. Through implementation targeted beneficial modifications modifiable factors, it possible lower Additionally, proactive screening, stratification, thorough patient education prioritized but nonmodifiable factors.
Language: Английский