Analysis of the causes of poor incision healing after hip and knee surgery and review of the literature
Abstract Objective A retrospective study was conducted to analyze the specific causes and literature review of patients who developed poor incision healing problems after hip and knee surgery. Methods This was a retrospective analysis of 250 patients admitted to the Department of Orthopedics and Tra...
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BMC
2025-02-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-025-08420-6 |
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| author | Jiaqing Zhu Jirong Shen Tianwei Xia Xun Cao Shanbin Zheng Jianbo Hu Fucheng Zhang Yang Wang |
| author_facet | Jiaqing Zhu Jirong Shen Tianwei Xia Xun Cao Shanbin Zheng Jianbo Hu Fucheng Zhang Yang Wang |
| author_sort | Jiaqing Zhu |
| collection | DOAJ |
| description | Abstract Objective A retrospective study was conducted to analyze the specific causes and literature review of patients who developed poor incision healing problems after hip and knee surgery. Methods This was a retrospective analysis of 250 patients admitted to the Department of Orthopedics and Traumatology of the Affiliated Hospital of Nanjing University of Traditional Chinese Medicine from October 1, 2022 to August 14, 2023 for hip and knee surgery. Among them, patients, 27 males and 39 females, were found to have poor incision healing after surgery; their ages ranged from 22 – 79 years, with an average of 58.71 years; and the patients developed symptoms of poor surgical incision healing from 1 – 8 months after surgery, with an average of 2.3 months. The causes of poor incision healing after hip and knee surgery were analyzed with reference to previously documented clinical data and relevant literature. Results According to this data, it was concluded that the surgeon's inexperience in surgical incision suturing, unskilled suturing technique, inaccurate suture selection, etc., led to the occurrence of surgical incision healing problems, which accounted for 77.28% of the cases. The patient's age, lifestyle habits, BMI, and other underlying diseases (e.g., diabetes mellitus, rheumatoid arthritis, etc.) caused poor postoperative incision healing in 22.73% of cases. Conclusion Poor intraoperative suturing by the surgeon was the main cause of poor incision healing after hip and knee arthroplasty, which can be avoided by good suturing and strict postoperative dressing changes and nursing care. |
| format | Article |
| id | doaj-art-483d33a84bf64483baf5e1cec128270b |
| institution | DOAJ |
| issn | 1471-2474 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj-art-483d33a84bf64483baf5e1cec128270b2025-08-20T03:10:55ZengBMCBMC Musculoskeletal Disorders1471-24742025-02-012611710.1186/s12891-025-08420-6Analysis of the causes of poor incision healing after hip and knee surgery and review of the literatureJiaqing Zhu0Jirong Shen1Tianwei Xia2Xun Cao3Shanbin Zheng4Jianbo Hu5Fucheng Zhang6Yang Wang7Department of Orthopedics and Traumatology, Affiliated Hospital of Nanjing University of Traditional Chinese MedicineDepartment of Orthopedics and Traumatology, Affiliated Hospital of Nanjing University of Traditional Chinese MedicineDepartment of Orthopedics and Traumatology, Affiliated Hospital of Nanjing University of Traditional Chinese MedicineDepartment of Orthopedics and Traumatology, Affiliated Hospital of Nanjing University of Traditional Chinese MedicineDepartment of Orthopedics and Traumatology, Affiliated Hospital of Nanjing University of Traditional Chinese MedicineDepartment of Orthopedics and Traumatology, Affiliated Hospital of Nanjing University of Traditional Chinese MedicineDepartment of Orthopedics and Traumatology, Affiliated Hospital of Nanjing University of Traditional Chinese MedicineHuai ‘an Huaian HospitalAbstract Objective A retrospective study was conducted to analyze the specific causes and literature review of patients who developed poor incision healing problems after hip and knee surgery. Methods This was a retrospective analysis of 250 patients admitted to the Department of Orthopedics and Traumatology of the Affiliated Hospital of Nanjing University of Traditional Chinese Medicine from October 1, 2022 to August 14, 2023 for hip and knee surgery. Among them, patients, 27 males and 39 females, were found to have poor incision healing after surgery; their ages ranged from 22 – 79 years, with an average of 58.71 years; and the patients developed symptoms of poor surgical incision healing from 1 – 8 months after surgery, with an average of 2.3 months. The causes of poor incision healing after hip and knee surgery were analyzed with reference to previously documented clinical data and relevant literature. Results According to this data, it was concluded that the surgeon's inexperience in surgical incision suturing, unskilled suturing technique, inaccurate suture selection, etc., led to the occurrence of surgical incision healing problems, which accounted for 77.28% of the cases. The patient's age, lifestyle habits, BMI, and other underlying diseases (e.g., diabetes mellitus, rheumatoid arthritis, etc.) caused poor postoperative incision healing in 22.73% of cases. Conclusion Poor intraoperative suturing by the surgeon was the main cause of poor incision healing after hip and knee arthroplasty, which can be avoided by good suturing and strict postoperative dressing changes and nursing care.https://doi.org/10.1186/s12891-025-08420-6Total hip arthroplastyTotal knee arthroplastyPoorly healing postoperative incisionDirect anterior incisionFat liquefactionThread reaction |
| spellingShingle | Jiaqing Zhu Jirong Shen Tianwei Xia Xun Cao Shanbin Zheng Jianbo Hu Fucheng Zhang Yang Wang Analysis of the causes of poor incision healing after hip and knee surgery and review of the literature BMC Musculoskeletal Disorders Total hip arthroplasty Total knee arthroplasty Poorly healing postoperative incision Direct anterior incision Fat liquefaction Thread reaction |
| title | Analysis of the causes of poor incision healing after hip and knee surgery and review of the literature |
| title_full | Analysis of the causes of poor incision healing after hip and knee surgery and review of the literature |
| title_fullStr | Analysis of the causes of poor incision healing after hip and knee surgery and review of the literature |
| title_full_unstemmed | Analysis of the causes of poor incision healing after hip and knee surgery and review of the literature |
| title_short | Analysis of the causes of poor incision healing after hip and knee surgery and review of the literature |
| title_sort | analysis of the causes of poor incision healing after hip and knee surgery and review of the literature |
| topic | Total hip arthroplasty Total knee arthroplasty Poorly healing postoperative incision Direct anterior incision Fat liquefaction Thread reaction |
| url | https://doi.org/10.1186/s12891-025-08420-6 |
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