scholarly journals "Skin and Wound Complications after Calcaneal Fracture Fixation"

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Ahmed Khedr
Keyword(s):  
Fracture Fixation ◽  
Calcaneal Fracture ◽  
Wound Complications

Association Between Smoking and Wound Infection Rates Following Calcaneal Fracture Fixation

2014 ◽  
Vol 7 (4) ◽  
pp. 266-270 ◽  
Author(s):  
Ashish Soni ◽  
Samuel Vollans ◽  
Karan Malhotra ◽  
Christopher Mann
Keyword(s):  
Cohort Study ◽  
Fracture Fixation ◽  
Smoking Status ◽  
Wound Complication ◽  
Calcaneal Fracture ◽  
Deep Infection ◽  
Lateral Approach ◽  
Wound Complications ◽  
Infection Rates ◽  
Tourniquet Time

Fixation of displaced, intra-articular calcaneal fractures has shown to improve outcome, but wound complications can be devastating for the patient. While smoking remains a factor associated with poor outcome, evidence is still somewhat contradictory. We studied the association of smoking and wound complication after calcaneal fracture fixation. In addition, we evaluated infection rates and association with age of patient, delay in surgery, tourniquet time, and Sanders classification. We conducted a retrospective cohort study in a teaching hospital from 2004 to 2011 evaluating a single surgeon series of calcaneal open reduction internal fixation via an extensile lateral approach. Patient demographics, mechanism of injury, history preexisting medical comorbidity, smoking status, soft tissue condition, delay in surgery, tourniquet time, presence of superficial or deep infection, and treatment of any infection were noted. Superficial and deep infection rate were 11.6% and 2.9%, respectively. Smokers had an increased rate of 12.5% and 6.25%, respectively. Most infections settled with antibiotics, and only 2 cases required surgical debridement. In conclusion, all the deep infections occurred in smokers whose surgery was delayed for more than 14 days. We found no increase in the rate of wound complications in association with age of patient, Sanders grading, or tourniquet time. Levels of Evidence: Prognostic Level III, retrospective comparative cohort study

Factors affecting infection after calcaneal fracture fixation

Injury ◽  
2009 ◽  
Vol 40 (12) ◽  
pp. 1313-1315 ◽  
Author(s):  
Charles M. Court-Brown ◽  
Matthias Schmidt ◽  
Bernard G. Schutte
Keyword(s):  
Fracture Fixation ◽  
Calcaneal Fracture ◽  
Factors Affecting

scholarly journals Sinus tarsi approach vs. extensile lateral approach for intra-articular calcaneal fracture

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0028
Author(s):  
Methee Khongphaophong
Keyword(s):  
Hospital Stay ◽  
Open Reduction ◽  
Operative Time ◽  
Locking Plate ◽  
Calcaneal Fracture ◽  
Lateral Approach ◽  
Wound Complications ◽  
Sinus Tarsi ◽  
Sinus Tarsi Approach ◽  
Extensile Lateral Approach

Category: Trauma Introduction/Purpose: The options of operative treatment for intra-articular calcaneal fracture still remains controversial. Extensile lateral approach allow excellent exposure to fracture, but bring high rate of wound complications. The aim of this study was to compare the outcome of intra-articular calcaneal fracture treated with open reduction and internal fixation via an extensile lateral versus. Sinus tarsi approach Methods: Prospective study of 62 intra-articular calcaneal fractures treated by open reduction and internal fixation between 2014, October to 2017, June. 29 were treated with extensile lateral approach with calcaneal locking plate(Wright medical, Tennessee), 33 sinus tarsi approach(4 cases need additional mini medial incision approaches for SanderIII AC, BC) with mini-calcaneal locking plate(Normed, Florida). Durations until operation, operative time, foot functional index(total score), visual analog scale, SF-36, Bohler’s angle, angle of Gissane, wound complications and duration of hospital stay were recorded post-operatively and minimal 6 months follow up. Results: Compared 2 groups with demographic datas.Average duration until operation; extensile group was 13.32 days, sinus tarsi group was 6.08 days, p <0.001. Operative time; extensile group was 123.41minutes vs. sinus tarsi group was 91.20 minutes, p <0.001. Wound complications was 24.13% in extensile group vs. 6.06% in sinus tarsi group, p =0.045, Duration of post-operative admission was 6.68 days in extensile group vs. 3.10 days in sinus tarsi group p <0.001 FFI last visits was 25.36 in extensile group vs. 25.65 in sinus tarsi group, p =0.969, VAS activity was 29.68 in extensile group vs. 28.54 in sinus tarsi group, p=0.271. Conclusion: Sinus tarsi approach with mini-calcaneal locking plate was a great option for treatment of intra-articular calcaneal fracture. This approach brought lower rate of wound complications, earlier operations, shorter operation times and shorter hospital stay compared to extensile lateral approach.

scholarly journals Comparison of calcaneus joint internal and external fractures in open surgery and minimal invasive methods in patients

2018 ◽  
Vol 28 (2) ◽  
Author(s):  
Alireza Amani ◽  
Vahid Shakeri ◽  
Alireza Kamali
Keyword(s):  
Wound Healing ◽  
Pain Intensity ◽  
Calcaneal Fracture ◽  
Wound Complications ◽  
Body Parts ◽  
Fracture Management ◽  
Wide Range ◽  
Significant Difference ◽  
Calcaneus Fractures ◽  
Shoe Wear

Surgical management of calcaneal fractures has various complications. In recent years, minimally invasive surgeries have been utilized for a wide range of surgical procedures on different body parts significantly declining complications. This paper compares surgical outcomes of calcaneal fracture management between the open reduction and internal fixation technique (ORIF) and the MIS technique. In this randomized clinical trial forty patients with calcaneus fractures were randomly assigned to two equal groups; ORIF group and MIS group. Patients were followed for 1 year post-operatively. Gissane and Bohler’s angles, AOFAS questionnaire, pain intensity, ability to conduct previous activities and various complications like wound healing complications and irritation with shoe wear were assessed in the final post-operative visit. Eventually data obtained from the two groups were compared. All patients obtained fracture union. Bohler’s and Gissane angles significantly increased and decreased, respectively, after the operation in both groups (p<0.05), however, no significant difference was found between the two research groups. AOFAS scores and pain intensity was similar in both groups, however, surgical duration in the MIS group was significantly less than the ORIF group (P=0.021). Only one patient from the ORIF group was not able to resume his previous occupation. 12 patients from the ORIF group and five patients from the MIS group experienced irritation from shoe wear (p=0.025). In the ORIF group, 4 patients suffered from wound healing complications, however, none of the patients of the MIS group had wound complications (p=0.035). In conclusion, based on the results, it can be concluded that the MIS technique demonstrated better functional and radiographic outcomes as well as a more favorable complication profile, thus, it is recommended for the management of calcaneus fractures.

Calcaneal fracture fixation using a new interlocking nail reduces complications compared to standard locking plates – Preliminary results after 1.6 years

Injury ◽  
2019 ◽  
Vol 50 ◽  
pp. 63-68 ◽  
Author(s):  
Anica Herlyn ◽  
Anna Brakelmann ◽  
Philipp KE Herlyn ◽  
Georg Gradl ◽  
Thomas Mittlmeier
Keyword(s):  
Fracture Fixation ◽  
Calcaneal Fracture ◽  
Locking Plates ◽  
Interlocking Nail ◽  
Preliminary Results

A simple method of skin flap retraction for calcaneal fracture fixation

2005 ◽  
Vol 11 (2) ◽  
pp. 117-119 ◽  
Author(s):  
W.J. Hart ◽  
P. Cool
Keyword(s):  
Fracture Fixation ◽  
Skin Flap ◽  
Calcaneal Fracture ◽  
Simple Method

scholarly journals The “Open-Envelope” Approach: A limited open approach for calcaneal fracture fixation

2018 ◽  
Vol 52 (3) ◽  
pp. 231 ◽  
Author(s):  
MandeepS Dhillon ◽  
Sharad Prabhakar ◽  
Ankit Khurana ◽  
Rakesh John
Keyword(s):  
Fracture Fixation ◽  
Calcaneal Fracture ◽  
Open Approach

Bone density of the calcaneus correlates with radiologic and clinical outcomes after calcaneal fracture fixation

Injury ◽  
2020 ◽  
Vol 51 (8) ◽  
pp. 1910-1918
Author(s):  
Sang Min Lee ◽  
Jae Seung Seo ◽  
Sang Ho Kwak ◽  
Won Chul Shin ◽  
Jung Yun Bae ◽  
...  
Keyword(s):  
Bone Density ◽  
Clinical Outcomes ◽  
Fracture Fixation ◽  
Calcaneal Fracture

Wound complications after distal humerus fracture fixation: incidence, risk factors, and outcome

2014 ◽  
Vol 23 (2) ◽  
pp. 258-264 ◽  
Author(s):  
Tom M. Lawrence ◽  
Shahryar Ahmadi ◽  
Bernard F. Morrey ◽  
Joaquín Sánchez-Sotelo
Keyword(s):  
Risk Factors ◽  
Fracture Fixation ◽  
Distal Humerus ◽  
Humerus Fracture ◽  
Wound Complications ◽  
Distal Humerus Fracture ◽  
Incidence Risk
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