The impact of smoking, diabetes and the site of surgery on post-operative infection in foot and ankle surgery: a prospective cohort study

摘要

Category:DiabetesIntroduction/Purpose:Smoking and diabetes are thought to increase the risk of post-op infection. Surgery on the hindfoot and ankle is also thought to carry an increased risk. This study looks at whether this is demonstrated in a cohort of patients undergoing foot and ankle (F&A) surgery.Methods:Six hundred and twenty patients underwent F&A surgery between 2013 and 2016. Patients either underwent surgery electively (group 1; n= 383) or had open reduction and internal fixation for ankle fracture (group 2; n= 237).Data was collected on patient demographics, site of surgery, smoking and diabetes. The primary outcome was the rate of surgical site (SSI) and deep infection. A standard statistical online package was used for statistical analysis.Results:The mean age was 50.8 years and the standard deviation was 17.1 years. The incidence of SSI was 4.2%; 0.48% developed a deep infection. There was no significant difference in infection prevalence between group 1 and 2 (p = 1.0). When comparing the...