医学
脚踝
外科
联合韧带
并发症
人口统计学的
抗生素
射线照相术
胫骨
腓骨
生物
微生物学
社会学
人口学
作者
Mette Renate Andersen,Frede Frihagen,Jan Erik Madsen,Wender Figved
标识
DOI:10.1016/j.injury.2015.08.021
摘要
The aim of this study was to determine the rate of complications after routine syndesmotic screw removal.All patients who underwent syndesmotic screw removal at our hospital between 2007 and 2012 were included in the study. Patient demographics, surgical characteristics, radiographic evaluation and complications were recorded from the patients' charts. Questionnaires were sent by postal mail to all patients, to measure patient satisfaction and pain (VAS scales).161 patients were included in the trial. A wound infection was found in 8 (5%) patients. 3 were regarded as serious infections requiring hospitalisation and intravenous antibiotics, 2 of those required surgical revisions. 5 patients were treated by oral antibiotics. Staphylococcus aureus was identified as the causing organism in all (6/8) cases with a positive culture. The patients with postoperative infection reported more pain (5.3 vs. 2.3; p=0.02) and were less satisfied (4.7 vs. 7.6; p=0.014) with their ankle compared to those without infection (T-test for independent samples).There were 5% wound infections after routine syndesmotic screw removal. Routine antibiotic prophylaxis effective against S. aureus should be administered when removing syndesmotic screws. In our institution we now use one single dose Cefalotin of 2g intravenously 30-60min before screw removal.
科研通智能强力驱动
Strongly Powered by AbleSci AI