International journal of orthopaedic and trauma nursing · 2026 · 範疇回顧(依標題推測)
Treatment of superficial wound infection following open reduction and internal fixation of ankle fractures: A scoping review.
踝與足 · 踝關節骨折術後傷口感染
中文閱讀摘要
踝骨折內固定術後表淺感染治療之範圍式回顧,顯示證據有限,多採用清創、抗生素及移除內固定物,尚無共識。
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原始摘要
Introduction
Ankle fractures account for approximately 10% of fractures among adults and frequently require surgical intervention, with open reduction and internal fixation being the gold standard. This intervention is associated with a high complication rate. Superficial infections can easily progress due to limited soft-tissue coverage. It is therefore vital to treat early infection. This study has aimed to map the treatments of superficial infection, following open reduction and internal fixation of ankle fractures.
Methods
This scoping review was conducted in accordance with the Joanna Briggs Institute methodology approach for scoping reviews. A comprehensive search strategy was used to identify relevant articles and thereafter selected through a two-step process by two independent authors.
Results
A total of 13,204 articles were identified, of which 18 articles including 146 cases of superficial infection, qualified for data extraction. A wide range of treatment modalities were identified in different compositions. The four most represented were 1) antibiotics (92.5%), 2) Irrigation and debridement (82.2%), 3) hardware removal (59.6%), and 4) negative pressure wound therapy (26.7%). Other treatment modalities include soft-tissue reconstruction, immobilisation, platelet-rich plasma and urinary bladder matrix.
Conclusion
There is a paucity of literature on the diagnosis and treatment of superficial infections following ankle fracture surgery. Limited low-quality evidence suggests a combination of irrigation and debridement, antibiotics and frequent hardware removal, with the occasional use of negative pressure wound therapy. Further research is warranted before consensus can be reached on treatment guidelines.
至 Europe PMC 閱讀完整來源 ↗ · 擷取日期 2026-10-19
書目、來源與全文狀態
- DOI
- 10.1016/j.ijotn.2026.101287
- PMID/PMCID
- 42202644
- 作者
- Thonsgaard S, Niebuhr D, Jensen NM, Jensen SS, Simony A
- 首次發表日期
- 2026-05-23Europe PMC 提供,部分日期可能依年份或月份推定。
- 卷/期/頁碼或文章編號
- 62 / 期未提供 / 101287
- 書目來源與查核日期
- Europe PMC · 2026-10-19僅核對書目欄位與來源連結;不代表已評讀研究品質。
- 全文與授權
- 來源尚未確認免費全文。 來源授權標示:cc by。
可回溯引用
Thonsgaard S, Niebuhr D, Jensen NM, Jensen SS, Simony A. Treatment of superficial wound infection following open reduction and internal fixation of ankle fractures: A scoping review. International journal of orthopaedic and trauma nursing. 2026;62:101287. PMID: 42202644. doi:10.1016/j.ijotn.2026.101287
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