[Expert consensus on the prevention and management of orthopedic surgical site infection wounds (2026 edition)]

[骨科手术部位感染伤口预防与管理专家共识(2026版)]

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Abstract

Orthopedic surgical site infection (SSI) is a major complication after orthopedic surgery, with incidence rates differing based on the specific type of procedure, typically ranging from 0.4% to 16.1%, and potentially exceeding 50% in high-risk scenarios. When orthopedic SSI advances to a stage necessitating intervention—characterized by wound dehiscence, tissue necrosis, or exposed implants—it not only substantially prolongs the recovery period but also increases the medical burden. Presently, there is an absence of standardized prevention and management protocols for such wounds both nationally and internationally, resulting in significant differences in clinical practice. In order to augment postoperative safety for orthopedic patients, diminish the incidence of orthopedic SSI wounds, and enhance the quality of diagnosis and treatment for these wounds, the Wound Repair Professional Committee of Chinese Medical Doctor Association has convened a multidisciplinary panel of experts to formulate this consensus. This consensus encompasses a range of topics, including prevention strategies, clinical manifestations, diagnostic evaluation, wound management and repair, functional reconstruction, and rehabilitation therapy for orthopedic SSI wounds. The objective is to furnish a comprehensive reference for the prevention and treatment of these wounds.

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