Volume 19 Issue 8
Aug.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(8): 1296-1299
HAN Shuai, ZHAO Yu-peng, ZHOU Ping-hui, XIAO Yu-zhou. Analysis of related factors of poor wound healing after closed lumbar fracture surgery[J]. Chinese Journal of General Practice, 2021, 19(8): 1296-1299. doi: 10.16766/j.cnki.issn.1674-4152.002044
Citation: HAN Shuai, ZHAO Yu-peng, ZHOU Ping-hui, XIAO Yu-zhou. Analysis of related factors of poor wound healing after closed lumbar fracture surgery[J]. Chinese Journal of General Practice, 2021, 19(8): 1296-1299. doi: 10.16766/j.cnki.issn.1674-4152.002044
shu

Analysis of related factors of poor wound healing after closed lumbar fracture surgery

doi: 10.16766/j.cnki.issn.1674-4152.002044
  • 1.

    Department of Orthopedics, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

 31700854

  • Received Date: 2020-12-11
    Available Online: 2022-02-16
    Abstract
  •   Objective   To investigate and analyse the related risk factors of poor incision healing after operation for lumbar closed fracture.   Methods   A total of 342 patients with closed lumbar fracture who were admitted to the department of orthopaedics in the First Affiliated Hospital of Bengbu Medical College from May 2017 to May 2020 were included in the study. The incidence of poor incision healing and related risk factors were studied and analysed retrospectively.   Results   (1) Among the 342 patients, 28 cases had poor incision healing, with an incidence of 8.2%. Univariate analysis showed that gender, the length of incision, use of electric knife, use of antibiotics before and after the operation and drainage time of the drainage tube had no effect on postoperative incision healing, and the difference was not statistically significant (all P>0.05). Age of >45 years, operation time of >3 h, diabetes, hypertension, BMI of >28 and waist and back fat thickness of >3 cm were significantly correlated with poor wound healing after operation. (2) Multi-factor logistic regression analysis showed that age, operation time, diabetes, hypertension, body mass index and low back fat thickness were independent risk factors for poor incision healing after operation for lumbar closed fracture when poor wound healing was used as a dependent variable. (3) Among the 28 patients with poor wound healing, incision infection was the most common, accounting for 57.14%. Staphylococcus aureus was the most common infection bacteria, accounting for 37.5%.   Conclusion   Patients' age, operation time, diabetes, hypertension, body mass index and low back fat thickness are the risk factors for poor incision healing after lumbar closed fracture operation.

     

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