Seasonal effect on the incidence of post-operative wound complications after trauma-related surgery of the foot, ankle and lower leg.

Archives of Orthopaedic and Trauma Surgery
Fay Ruth Katharina SandersTim Schepers

Abstract

Post-operative wound complications remain among the most common complications of orthopedic (trauma) surgery. Recently, studies have suggested environmental factors such as season to be of influence on wound complications. Patients operated in summer are reported to have more wound complications, compared to other seasons. The aim of this study was to identify if "seasonality" was a significant predictor for wound complications in this cohort of trauma-related foot/ankle procedures. This retrospective cohort study included all patients undergoing trauma-related surgery (e.g. fracture fixation, arthrodesis, implant removal) of the foot, ankle or lower leg. Procedures were performed at a Level 1 Trauma Center between September 2015 until March 2019. Potential risk factors/confounders were identified using univariate analysis. Procedures were divided into two groups: (1) performed in summer (June, July or August), (2) other seasons (September-May). The number of surgical wound complications (FRIs, SSIs or wound dehiscence) was compared between the two groups, corrected for confounders, using multivariate regression. A total of 599 procedures were included, mostly performed in the hindfoot (47.6%). Patients were on average 46 years...Continue Reading

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Citations

Feb 12, 2021·Scandinavian Journal of Urology·Anna Krarup KellerJørgen Bjerggaard Jensen

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BETA
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