Relationship between surgeon volume and the risk of deep surgical site infection (DSSI) following open reduction and internal fixation of displaced intra‐articular calcaneal fracture

It is well established that the postoperative results were affected by the surgeon volume in a variety of elective and emergent orthopaedic surgeries; however, by far, no evidences have been available as for surgically treated displaced intra‐articular calcaneal fractures (DIACFs). We aimed at inves...

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Bibliographic Details
Published in:International wound journal 2022-08, Vol.19 (5), p.1092-1101
Main Authors: Qin, Shiji, Zhu, Yanbin, Meng, Hongyu, Zhang, Junzhe, Li, Junyong, Zhao, Kuo, Zhang, Yingze, Chen, Wei
Format: Article
Language:English
Subjects:
Alcohol use
annual case volume
Antibiotics
Bone surgery
calcaneal fracture
Comorbidity
Debridement
deep surgical site infection
Fractures
Health aspects
Hospitals
Infection
Internal fixation in fractures
inverse relationship
Joint surgery
Mortality
Original
Orthopedics
Statistical analysis
Surgeons
Surgery
Surgical site infections
Surveillance
Trauma
Variables
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Summary:It is well established that the postoperative results were affected by the surgeon volume in a variety of elective and emergent orthopaedic surgeries; however, by far, no evidences have been available as for surgically treated displaced intra‐articular calcaneal fractures (DIACFs). We aimed at investigating the relationship between surgeon volume and deep surgical site infection (DSSI) following open reduction and internal fixation (ORIF) of DIACFs. This was a further analysis of prospectively collected data from a validated database. Patients with DIACFs stabilised by ORIF between 2016 and 2019 were identified. Surgeon volume was defined as the number of surgically treated calcaneal fractures within one calendar year and was dichotomised based on the optimal cut‐off value. The outcome measure was DSSI within 1 year postoperatively. Multivariate logistics regression analyses were performed to examine the relationship, adjusting for confounders. Among 883 patients, 19 (2.2%) were found to have a DSSI. The DSSI incidence was 6.5% in surgeons with a low volume (
ISSN:1742-4801
1742-481X
DOI:10.1111/iwj.13705