摘要
目的主要评估跟骨关节内骨折术后切口感染(POWI)对功能的影响,其次评估POWI对患者生活质量和满意度的影响。方法选取从2005年1月至2015年1月行切复内固定术治疗的200例跟骨骨折患者参与问卷调查。采用足功能指数(FFI)和美国足踝外科协会评分(AOFAS)作为功能评价标准,Euro QOL(EQ-5D)和视觉模拟量表(VAS)分别用于评估生活质量(QOL)和满意度。结果 150例患者问卷合格,占75.0%。其中不合并POWI组104例,合并POWI组46例。FFI中位数为13分,AOFAS中位数为81分,且在不合并POWI组二者分值较高。不合并POWI组QOL值较合并POWI组高,但差异无统计学意义。结论 POWI会影响手术效果,但差异无显著性,在QOL和体力因素方面差异也无显著性。合并POWI组患者满意度低且会增加患者负担。
Objective To evaluate the effect of POWI following the extended lateral approach of displaced intra - articular calcaneal fractures on functional outcome and to assess health - related quality of life and patient satisfaction. Methods 200 patients with with a calcaneal fracture treated with open reduction and internal fixation from Janurary 2005 to Janurary 2015 Functional were measured using the Foot Function Index （FFI, best score 0 points） and the American Orthopaedic Foot and Ankle Society （AOFAS, best score 100 points） hind foot score. The Euro QOL （EQ - 5D） was used for quality of life （QOL） and a Visual Analogue Scale （VAS, best score 10 points） for overall patients satisfaction.Results Of 200 eligible patients, 150 patients returned the questionnaire （response rate 75 % ） including 104 patients with POWI and 46 patients without POWI. The median FFI was 13 points and AOFAS 81 points. Patients without POWI scored better on all health - related aspects of QOL in the EQ - 5D, but the difference was not statistically significant. Conclusion Our results implicate that postoperative wound infection leads lower functional outcome scores following calcaneal fracture surgery, but the difference has no statistical significance. In addition, patients do not report significant worse QOL or physical impairment. Overall patient satisfaction measured by VAS was significantly lower in case of POWI, reflecting the burden caused by a wound complication.
出处
《临床和实验医学杂志》
2016年第17期1714-1717,共4页
Journal of Clinical and Experimental Medicine
关键词
跟骨骨折
切开复位内固定术
术后切口感染
功能影响
生活质量
满意度
Calcaneal fractures
Open reduction internal fixation
Postoperative wound infection
POWI
Functional outcome
Quality of life
Patient satisfaction
