Early and standard treatment of open calcaneal fractures
- VernacularTitle:开放性跟骨骨折的早期规范化治疗
- Author:
Xiaoreng GONG
;
Yong WU
;
Yan WANG
;
Manyi WANG
;
Liang HE
- Publication Type:Journal Article
- Keywords:
Foot injuries;
Fractures,open;
Calcaneus;
Surgical procedures,operative
- From:
Chinese Journal of Trauma
2008;24(5):331-335
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss early and standard treatment of open calcaneal fractures so as to lower incidence of amputation and osteomyelitis. Methods From October 2005 to October 2006,16 cases of 17 open calcaneal fractures were treated in our department.There were 12 males(13 fractures)and 4 females at a mean age of 31 years.All cases were treated with the sanle early treatment protocol,including emergent debridement,and lavaging with normal saline,H2O2 and iodide solutions.All cases were immobilized with plaster or multiple K-wires according to systemic condition and fracture type.With detumescence of the soft tissues.open reduction and internal fixation was done via lateral incision.The patients were followed up for mean six months and the incidence rate of complications evaluated bv American Orthopaedic Foot and Ankle Society(AOFAS)scale. Resuits No amputation was found.but there was one case with osteomyelitis.one with superficial infection and one with deep infection.Delayed skin union was found in one case and plantar skin necrosis in one. Conclusion Early and standard treatment of open calcaneal fractures can minimize the infection,prevent osteomyelitis and provide sound soft tissue for secondary surgical management.
