{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:26:59Z","timestamp":1787318819989,"version":"build-2736575974"},"reference-count":32,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,10,15]],"date-time":"2021-10-15T00:00:00Z","timestamp":1634256000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    It is well established that the postoperative results were affected by the surgeon volume in a variety of elective and emergent orthopaedic surgeries; however, by far, no evidences have been available as for surgically treated displaced intra\u2010articular calcaneal fractures (DIACFs). We aimed at investigating the relationship between surgeon volume and deep surgical site infection (DSSI) following open reduction and internal fixation (ORIF) of DIACFs. This was a further analysis of prospectively collected data from a validated database. Patients with DIACFs stabilised by ORIF between 2016 and 2019 were identified. Surgeon volume was defined as the number of surgically treated calcaneal fractures within one calendar year and was dichotomised based on the optimal cut\u2010off value. The outcome measure was DSSI within 1\u00a0year postoperatively. Multivariate logistics regression analyses were performed to examine the relationship, adjusting for confounders. Among 883 patients, 19 (2.2%) were found to have a DSSI. The DSSI incidence was 6.5% in surgeons with a low volume (&lt;6\/year), 5.5 times as that in those with a high volume (\u22656\/year) (incidence rate, 1.2%;\n                    <jats:italic>P<\/jats:italic>\n                    \u2009&lt;\u20090.001). The multivariate analyses showed a low volume &lt;6\/year was associated with a 5.8\u2010fold increased risk of DSSI (95% confidence interval, 2.2\u201016.5,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009&lt;\u20090.001). This value slightly increased after multiple sensitivity analyses, with statistical significances still unchanged (OR range, 6.6\u20106.9;\n                    <jats:italic>P\u2009\u2264<\/jats:italic>\n                    \u00a00.001). The inverse relationship indicates a need for at least six cases\/year for a surgeon to substantially reduce the DSSIs following the ORIF of DIACFs.\n                  <\/jats:p>","DOI":"10.1111\/iwj.13705","type":"journal-article","created":{"date-parts":[[2021,10,19]],"date-time":"2021-10-19T22:33:35Z","timestamp":1634682815000},"page":"1092-1101","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Relationship between surgeon volume and the risk of deep surgical site infection (\n                    <scp>DSSI<\/scp>\n                    ) following open reduction and internal fixation of displaced intra\u2010articular calcaneal fracture"],"prefix":"10.1111","volume":"19","author":[{"given":"Shiji","family":"Qin","sequence":"first","affiliation":[{"name":"Department of orthopaedic surgery The 3<sup>rd<\/sup> Hospital of Hebei Medical University  Shijiazhuang China"},{"name":"Key Laboratory of Biomechanics of Hebei Province  Shijiazhuang China"},{"name":"Orthopaedic Institution of Hebei Province  Shijiazhuang China"},{"name":"NHC Key Laboratory of Intelligent Orthopaedic Equipment  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanbin","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of orthopaedic surgery The 3<sup>rd<\/sup> Hospital of Hebei Medical University  Shijiazhuang China"},{"name":"Key Laboratory of Biomechanics of Hebei Province  Shijiazhuang China"},{"name":"Orthopaedic Institution of Hebei Province  Shijiazhuang China"},{"name":"NHC Key Laboratory of Intelligent Orthopaedic Equipment  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongyu","family":"Meng","sequence":"additional","affiliation":[{"name":"Department of orthopaedic surgery The 3<sup>rd<\/sup> Hospital of Hebei Medical University  Shijiazhuang China"},{"name":"Key Laboratory of Biomechanics of Hebei Province  Shijiazhuang China"},{"name":"Orthopaedic Institution of Hebei Province  Shijiazhuang China"},{"name":"NHC Key Laboratory of Intelligent Orthopaedic Equipment  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junzhe","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of orthopaedic surgery The 3<sup>rd<\/sup> Hospital of Hebei Medical University  Shijiazhuang China"},{"name":"Key Laboratory of Biomechanics of Hebei Province  Shijiazhuang China"},{"name":"Orthopaedic Institution of Hebei Province  Shijiazhuang China"},{"name":"NHC Key Laboratory of Intelligent Orthopaedic Equipment  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junyong","family":"Li","sequence":"additional","affiliation":[{"name":"Department of orthopaedic surgery The 3<sup>rd<\/sup> Hospital of Hebei Medical University  Shijiazhuang China"},{"name":"Key Laboratory of Biomechanics of Hebei Province  Shijiazhuang China"},{"name":"Orthopaedic Institution of Hebei Province  Shijiazhuang China"},{"name":"NHC Key Laboratory of Intelligent Orthopaedic Equipment  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kuo","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of orthopaedic surgery The 3<sup>rd<\/sup> Hospital of Hebei Medical University  Shijiazhuang China"},{"name":"Key Laboratory of Biomechanics of Hebei Province  Shijiazhuang China"},{"name":"Orthopaedic Institution of Hebei Province  Shijiazhuang China"},{"name":"NHC Key Laboratory of Intelligent Orthopaedic Equipment  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingze","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of orthopaedic surgery The 3<sup>rd<\/sup> Hospital of Hebei Medical University  Shijiazhuang China"},{"name":"Key Laboratory of Biomechanics of Hebei Province  Shijiazhuang China"},{"name":"Orthopaedic Institution of Hebei Province  Shijiazhuang China"},{"name":"NHC Key Laboratory of Intelligent Orthopaedic Equipment  Shijiazhuang China"},{"name":"Chinese Academy of Engineering  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of orthopaedic surgery The 3<sup>rd<\/sup> Hospital of Hebei Medical University  Shijiazhuang China"},{"name":"Key Laboratory of Biomechanics of Hebei Province  Shijiazhuang China"},{"name":"Orthopaedic Institution of Hebei Province  Shijiazhuang China"},{"name":"NHC Key Laboratory of Intelligent Orthopaedic Equipment  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,10,15]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2012.0079"},{"key":"e_1_2_10_3_1","unstructured":"Y Z. 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