Factors influencing functional outcome of fractures of the anterior process of the calcaneus

Xiao, Weiyuan; Jin, Xuefeng; Wang, Xinyi; Bai, Jiarun; Zhang, Wei; He, Tong‐Chuan; Mao, Zhenyang; Dong, Yanhua; Zhang, Chao

doi:10.1016/j.otsr.2023.103572

Cited by 1 publication

(1 citation statement)

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“…The main causes of ankle fractures are traffic accidents, collisions, falls and other violent factors or excessive fatigue 4,5 . The common clinical symptoms of ankle fracture are joint anatomical deformity, peripheral ligament, vascular and nerve injury, decreased stability and dysfunction, which is an important part of orthopaedic trauma 6,7 . If the fracture is not properly treated, it may lead to long‐term disability or chronic pain.…”

Section: Introductionmentioning

confidence: 99%

Study on the risk factors of postoperative wound complications in patients with ankle fracture

Xiao,

Lu,

Chen

et al. 2024

International Wound Journal

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Wound complications after surgery for ankle fractures can lead to catastrophic consequences. The purpose of this study was to evaluate the risk factors of postoperative wound complications in patients with ankle fracture and to determine their effects on prognosis. 200 patients with ankle fracture treated in our hospital from October 2021 to December 2023 were analysed retrospectively. The total incidence of postoperative wound complications was 19% (38/200). Type of complications: wound edge necrosis 15 cases (39.47%), dehiscence (reopening of wound) 13 cases (34.21%), delayed healing (>30 days) 10 cases (26.32%); Univariate analysis showed that patients' age, body mass index (BMI), current smoking, alcoholism, diabetes mellitus, injury mechanism, open fracture, wound classification, higher American Society of Anesthesiologists (ASA) score and operation time were all associated with postoperative wound complications. Multivariate Logistic regression model shows: age ≥60 years old OR3.671 (1.875–5.937), BMI OR1.198 (1.143–1.324), current smoking OR2.727 (1.251–5.602), alcoholism OR1.143 (1.034–1.267), complicated with diabetes OR2.763 (1.236–4.852), injury mechanism (high vs. low and medium energy) OR2.437 (1.238–4.786), open fracture OR1.943 (1.8262.139), wound classification (II vs. I) OR4.423 (1.73511.674), ASA score (III–IV vs. I–II) OR1.307 (1.113–2.194) was an independent risk factor for postoperative wound complications in patients with ankle fracture. Further, ROC curves showed that these nine independent influences had high accuracy and validity in predicting postoperative wound complications in patients with ankle fractures. In conclusion, independent risk factors for postoperative complications of ankle fracture were age >60 years, BMI, injury mechanism, open fracture, wound classification (II vs. I), ASA score, current smoking, and alcoholism. The wound classification (II vs. I) has the highest diagnostic value.

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Section: Introductionmentioning

confidence: 99%