Affiliation:
1. Department of Orthopaedic Surgery Tiantai Hospital of Traditional Chinese Medicine Taizhou Zhejiang China
2. Department of Orthopaedic Surgery The People's Hospital of Tiantai County Taizhou Zhejiang China
3. Department of Trauma Surgery The People's Hospital of Tiantai County Taizhou Zhejiang China
4. Department of Emergency Center The People's Hospital of Tiantai County Taizhou Zhejiang China
Abstract
AbstractComplex fractures present significant challenges in orthopaedic surgery, particularly in terms of postoperative wound healing. Nutritional status plays a crucial role in the recovery process, with early nutritional support potentially influencing wound healing outcomes. This meta‐analysis aimed to assess the impact of early nutritional interventions on postoperative wound healing and scar formation in patients with complex fractures. From an initial pool of 1742 articles, 7 studies were selected for analysis. The results revealed that preoperative nutritional support significantly improved early wound healing, as indicated by lower REEDA scores (SMD = −14.06, 95% CI: [−16.79, −11.32], p < 0.01) 1 week post‐surgery. Furthermore, there was a notable reduction in scar formation, as demonstrated by lower Manchester Scar Scale scores (SMD = −25.03, 95% CI: [−30.32, −19.74], p < 0.01) 3 months post‐surgery. These findings highlight the importance of incorporating nutritional strategies into the management of complex fractures to optimize postoperative recovery.