Relationship between surgeon volume and the risk of deep surgical site infection ( DSSI ) following open reduction and internal fixation of displaced intra‐articular calcaneal fracture

Autor: Yingze Zhang, Yanbin Zhu, Hongyu Meng, Kuo Zhao, Shiji Qin, Junzhe Zhang, Wei Chen, Junyong Li
Rok vydání: 2021
Předmět:
Zdroj: International Wound Journal. 19:1092-1101
ISSN: 1742-481X
1742-4801
Popis: It is well established that the postoperative results were affected by the surgeon volume in a variety of elective and emergent orthopaedic surgeries; however, by far, no evidences have been available as for surgically treated displaced intra-articular calcaneal fractures (DIACFs). We aimed at investigating the relationship between surgeon volume and deep surgical site infection (DSSI) following open reduction and internal fixation (ORIF) of DIACFs. This was a further analysis of prospectively collected data from a validated database. Patients with DIACFs stabilised by ORIF between 2016 and 2019 were identified. Surgeon volume was defined as the number of surgically treated calcaneal fractures within one calendar year and was dichotomised based on the optimal cut-off value. The outcome measure was DSSI within 1 year postoperatively. Multivariate logistics regression analyses were performed to examine the relationship, adjusting for confounders. Among 883 patients, 19 (2.2%) were found to have a DSSI. The DSSI incidence was 6.5% in surgeons with a low volume (
Databáze: OpenAIRE