Analysis of infection and its influencing factors after open reduction and internal fixation of ankle fracture
Objective To analyze the incidence and influencing factors of infection after open reduction and internal fixation(ORIF)of ankle fracture.Methods A total of 179 patients with ankle fracture admitted to Beijing Jishuitan Hospital,Capital Medical University from February 2021 to January 2023 were selected.The patients were divided into infected group(21 cases)and non-infected group(179 cases)according to whether infection occurred within 30 days after surgery.The clinical data of the two groups were compared,and the influencing factors of postoperative infection were determined by multivariate logistic regression analysis.Results A total of 21(11.73％)of 179 patients developed infection,all of which were surgical site infection(SSI).The proportion of diabetes mellitus,open fracture,ASA grade Ⅲ,abnormal white blood cell count,and abnormal albumin in infection group was higher than that in non-infection group,and the time from fracture to operation was longer than that in non-infection group,the differences were statistically significant(P＜0.05).Multivariate logistic regression analysis showed that diabetes mellitus(OR=2.121,95％CI:1.325-3.395),fracture type(OR=1.859,95％CI:1.206-2.866),fracture to surgery time(OR=1.604,95％CI:1.138-2.261),and albumin level(OR=1.455,95％CI:1.078-1.964)were the factors influencing SSI after ORIF of ankle fracture(P＜0.05).Conclusion Ankle fracture patients with diabetes,open fracture,ASA grade Ⅲ and abnormal white blood cell count and albumin are more likely to develop surgical site infection after ORIF surgery,and should be paid attention to and actively targeted intervention.
Ankle fractureOpen reduction and internal fixationSurgical site infectionAlbuminInfluencing factor
万方数据
维普
