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首页> 外文期刊>Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine >Risk factors for wound complications of closed calcaneal fractures after surgery: a systematic review and meta-analysis
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Risk factors for wound complications of closed calcaneal fractures after surgery: a systematic review and meta-analysis

机译：闭合跟骨骨折手术后伤口并发症的危险因素：系统评价和荟萃分析

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Background To better clinical outcomes, open reduction and internal fixations (ORIFs) have been commonly performed in the case of closed displaced intra-articular calcaneal fractures (CDICFs). Nonetheless, postoperative wound complications remain a significant problem. Therefore, the aim of our study is to summarise relevant evidence investigating the risk factors for postoperative wound complications of CDICFs following ORIFs. Methods A meta-analysis was conducted on relevant clinical studies to identify the risk factors for wound complications of CDICFs after ORIFs. Electronic databases were searched for all relevant studies up to October 2014. The Newcastle-Ottawa scale was used to evaluate the methodological quality, and study-specific odds ratios (ORs) were pooled using the fixed-effects model or random-effects model. Sensitivity analysis and meta-regression analysis was performed to evaluate the heterogeneity. Results Ten observational studies involving 1559 patients with 1651 fractures were included in this meta-analysis. The results showed that diabetes (OR, 9.76; p?p?p?p?p?>?0.05). Conclusions Based on available relevant evidence, bone graft, diabetes, no drainage and fracture severity were all associated with an increased risk of wound complications after ORIF for CDICFs.
机译：背景为了获得更好的临床效果，闭合闭合移位的关节内跟骨骨折（CDICF）通常采用切开复位内固定术（ORIF）。尽管如此，术后伤口并发症仍然是一个重大问题。因此，我们的研究目的是总结有关证据，以调查ORIFs后CDICF术后伤口并发症的危险因素。方法对相关的临床研究进行荟萃分析，确定ORIFs后CDICFs伤口并发症的危险因素。在电子数据库中搜索了截至2014年10月的所有相关研究。使用纽卡斯尔-渥太华量表来评估方法学质量，并使用固定效应模型或随机效应模型汇总研究特定的比值比（OR）。进行敏感性分析和元回归分析以评估异质性。结果这项荟萃分析包括十项涉及1559例1651例骨折患者的观察性研究。结果显示为糖尿病（OR，9.76;p≥p≥p≥p≥p≥0.05）。结论根据现有的相关证据，移植骨，糖尿病，无引流和骨折严重程度均与CDICFs ORIF术后伤口并发症风险增加有关。

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