A Prospective Evaluation for a Possible Safe Skin Bridge in Elective Foot Surgery.
| Autor: | Moore G; Division of Orthopaedic Surgery, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa., Saragas NP; Division of Orthopaedic Surgery, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.; The Orthopaedic Foot and Ankle Unit, Linksfield Hospital, Johannesburg, South Africa., Ferrao PNF; Division of Orthopaedic Surgery, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.; The Orthopaedic Foot and Ankle Unit, Linksfield Hospital, Johannesburg, South Africa. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Foot & ankle orthopaedics [Foot Ankle Orthop] 2024 Jun 12; Vol. 9 (2), pp. 24730114241256552. Date of Electronic Publication: 2024 Jun 12 (Print Publication: 2024). |
| DOI: | 10.1177/24730114241256552 |
| Abstrakt: | Background: In foot and ankle surgery, adequate surgical exposure often requires multiple incisions to be used near one another, thus creating a skin bridge. As the skin bridge becomes narrower, the wound edge vitality is potentially compromised and therefore the wound's ability to heal. The impact of local, host, and surgical factors on wound healing are well documented in the literature; however, little is known about the role of the skin bridge. The aim of this study is to determine if there is a recommendable safe skin bridge in elective foot and ankle surgery. Methods: A prospective study was performed on 56 patients with 60 feet who had elective foot surgery. The length of each incision and distance between the incisions were recorded. The wounds were assessed for complications at 2, 4, and 6 weeks after surgery. Patient demographics and host risk factors were documented. Results: The average incision length was 5.5 (range: 3-8.5) cm. The average skin bridge was 3.9 (range: 2-6.8) cm. Five (8.3%) of the 60 feet developed a wound complication. Four (80%) of these patients had a known comorbidity. Two patients had diabetes and 2 were smokers. The incidence of relevant comorbidities was 5.5% (n = 3) for patients without a wound complication ( P < .001). Age did not differ significantly between patients with and without a wound complication. Patients with a wound complication had significantly longer incision lengths ( P = .047). There was no significant independent association between skin bridge width and risk of wound complications ( P > .05) with skin bridge widths of 2 cm or larger. Conclusion: In this relatively small cohort of 60 elective operative foot surgeries, we did not find increased wound complications in skin bridges 2 cm or larger, when meticulous surgical technique is practiced and host risk factors are optimized. Level of Evidence: Level III, prospective case control study. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Disclosure forms for all authors are available online. (© The Author(s) 2024.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|