Predictors of Nonunion and Infectious Complications in Patients With Posttraumatic Subtalar Arthrodesis
| Autor: | J. Carel Goslings, Jan S. K. Luitse, Vincent M. de Jong, Tim Schepers, Manouk Backes, Siem A. Dingemans |
|---|---|
| Přispěvatelé: | Other departments, Surgery, Emergency Department |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Arthrodesis medicine.medical_treatment Nonunion 03 medical and health sciences Fractures Open Young Adult 0302 clinical medicine Subtalar joint medicine Internal fixation Humans Surgical Wound Infection Orthopedics and Sports Medicine Young adult Foot Injuries Aged Retrospective Studies 030222 orthopedics business.industry Foot Deformities Acquired Trauma center Subtalar Joint Retrospective cohort study 030229 sport sciences General Medicine Middle Aged medicine.disease Surgery medicine.anatomical_structure Fractures Ununited Female business Cohort study |
| Zdroj: | Journal of orthopaedic trauma, 30(10), e331-e335. Lippincott Williams and Wilkins |
| ISSN: | 0890-5339 |
| DOI: | 10.1097/bot.0000000000000644 |
| Popis: | Objective The objective of the present study was (1) to identify predictors of both nonunion and postoperative wound infections (POWI) and (2) to assess the union and complication rate following posttraumatic subtalar arthrodesis (STA). Design Retrospective comparative cohort study. Setting Level 1 trauma center. Patients All consecutive adult patients with STA following traumatic injuries between 2000 and May 2015. Intervention STA for posttraumatic deformities. Main outcome measurements Union (described as a combination of radiographic signs of osseous bridging and a clinically fused joint) and POWI as classified by the Centers for Disease and Control. Results A total number of 93 (96 feet) patients met the inclusion criteria. Union was achieved in 89% of patients. For primary, secondary in situ, and secondary correction arthrodesis, these percentages were 94%, 84,% and 90%, respectively (NS). The union rate significantly increased over time (P = 0.02). In 17 patients (18%), a POWI occurred, of which 2 were classified as superficial and 15 as deep POWIs. The POWI rate did not differ between the groups. Alcohol, nicotine, and drug abuse were not significantly associated with the occurrence of POWIs. Patients with an open fracture or an infection following open reduction internal fixation had a greater risk of a POWI following STA (P = 0.03 and P = 0.04, respectively). Conclusions We could not identify predictors for nonunion. In 18% of the patients, an infectious complication following surgery occurred. Patients with an open fracture or an infection after primary surgical treatment (ie, open reduction internal fixation) have a higher chance of POWIs following STA. The union rate following posttraumatic STA is 89%. Level of evidence Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|