An investigation of risk factors of wound complications after operative fixation for calcaneal fractures
- VernacularTitle:跟骨骨折切开复位内固定术后伤口并发症的临床分析
- Author:
Jian ZOU
;
Wei ZHANG
;
Chang-Qing ZHANG
;
- Publication Type:Journal Article
- Keywords:
Calcaneal fracture;
Complication;
Fracture fixation,internal;
Open reduction
- From:
Chinese Journal of Orthopaedic Trauma
2004;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors contributing to wound complications following operative fixation for fractured calcanea.Methods Fitly-six patients with 61 fractured calcanea who had been treated with operative fixation from March 2000 to March 2003 were enrolled in investigation.General information of the pa- tients,ages,injury causes,classification of fracture,fall heights,smoking,delayed operation time,operation time and tourniquet time were documented preoperatively and postoperatively to be analyzed statistically.Results We report an overall wound complication rate of 14.8%(9/61).Wound infection,haematoma,dehiscence,heel necrosis and osteomyelitis were noted in our series.We identified the following as risk factors of postoperative wound compli- cations:1)fall from more than 3.4 m high(P＜0.05);2)delayed operation time less than seven days(P＜0.05); 3)operating time beyond two hours(P＜0.05);4)tourniquet time beyond 1.5 hours(P＜0.05).Conclusion In order to decrease wound complications following operative fixation tor fractured calcanea,surgeons should pertorm the operation 7 to 10 days after the injury,and reduce the operation time and tourniquet time.
