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.