Wound complications following operative fixation of calcaneal fractures

Al-Mudhaffar, M; Prasad, C. V. R.; Mofidi, A.

doi:10.1016/s0020-1383(00)00026-7

Cited by 151 publications

(129 citation statements)

References 6 publications

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“…However, in situations where osteomyelitis is diffused to most parts of the foot and bones cannot be preserved, amputation should be considered. 19,22 If the wound is exposed, strategies involving distant skin flap transfer should be used. 20 Skin flap necrosis is usually the result of improper incision and exposure, or a lengthy time taken for distraction.…”

mentioning

confidence: 99%

Postoperative complications after closed calcaneus fracture treated by open reduction and internal fixation: A review

Pang

Chen

et al. 2013

J Int Med Res

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Objective: To review postoperative complications reported after closed calcaneus fracture treated by open reduction and internal fixation (ORIF). Methods: Postoperative complications reported in the literature between 1995 and 2012 were identified. Papers were retrieved from publicly available databases and included in this study if they met the following criteria: clinical research of cases of closed calcaneus fracture treated by ORIF; 10 cases; detailed information about complications, treatment and follow up. Results: Twenty-one clinical reports were analysed (2046 cases). Reported complications (and incidence rates) were: infection and skin flap necrosis (13.6%); neurovascular injury (2.8%); posttraumatic arthritis (1.2%); malreduction/implant problems (0.8%); nonunion (0.1%). Conclusions: Postoperative complications after closed calcaneus fracture are common clinical problems that cannot always be avoided. They can even be life altering, due to the requirement for long-term treatment or amputation and their economic impact on the patient. Complications should be diagnosed and treated promptly, to achieve satisfactory outcomes. Nonsurgical treatment (e.g. local wound care, drugs or physical therapy) can be attempted. If such measures fail, surgical treatment (e.g. debridement, skin flap transplantation, implant removal, re-opening of the reduction and internal fixation or subtalar joint arthrodesis) should be considered.

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confidence: 99%

Postoperative complications after closed calcaneus fracture treated by open reduction and internal fixation: A review

Pang

Chen

et al. 2013

J Int Med Res

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“…17,18 Calcaneal fractures are commonly associated with soft tissue complications due to the thin and vulnerable skin. Wound edge necrosis is about 2-11% and soft tissue infection ranges from 1.3% to 7%.…”

Section: Introductionmentioning

confidence: 99%

Minimizing Hardware in Intra-Articular Fracture Calcaneus

Borthakur¹,

Das²

2018

jebmh

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“…[2][3][4][5] Intra articular fractures often lead to sub talar arthritis with gross limitation of function. 6,7 The management of displaced intra-articular calcaneal fractures (DIACFs) remains challenging and controversial. Open reduction and internal fixation (ORIF) through an extensile lateral approach has been widely accepted and established as a standard treatment for DIACFs.…”

Section: Introductionmentioning

confidence: 99%

“…2,3 However, a fairly high wound-related complication rate has been reported with this approach, including wound edge necrosis, dehiscence, hematoma, infection and injury to the sural nerve. [4][5][6][7] In an attempt to lower the complication rate, various minimally invasive techniques have recently been introduced, including external fixation, percutaneous fixation, arthroscopically assisted fixation, and minimal incision techniques via medial, modified lateral (such as the sinus tarsi approach), longitudinal, or combined approaches. [8][9][10][11][12][13][14] Minimally invasive techniques have been reported as effective in minimizing soft tissue trauma, thereby reducing the incidence of wound-related complications.…”

Section: Introductionmentioning

confidence: 99%

A study of intra articular calcaneal fractures treated with minimally invasive cannulated screw fixation

et al. 2018

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Background: The management of displaced intra-articular calcaneal fractures (DIACFs) remains challenging and controversial. A prospective study to assess the functional outcome of patients with displaced intra-articular calcaneal fractures treated with percutaneous reduction, cannulated screw fixation.Methods: Ultimately, 14 patients with a DIACFs, underwent. percutaneous reduction, cannulated screw fixation. Functional outcomes were evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS) hind foot scores. Radiological results were assessed using plain radiographs and computed tomography (CT) scans, and postoperative wound-related complications were also recorded.Results: A total of 46 adult patients were assessed in our study. Twenty patients did not meet the inclusion criteria and were excluded. Twelve patients were excluded due to severe medical ailments (2 patients) and non-adherence to the treatment plan (10 patients). Therefore, 14 patients with an average age of 42.5 years old (range, 20 to 72 years) including 10 men and 4 women participated in the study. All patients were followed-up for 12 months averagely (range, 11 to 18 months). Complete articular reduction is achieved in 8 patients, 6 patients had articular depression of posterior facet, 3 patients had heel widening and lateral impingement. There was no wound complications in any of the patients, 2 patients developed sub talar arthritis at 2 years of follow up. Conclusions: Surgical treatment of intra articular calcaneal fractures remains challenging task. Minimally invasive reductions remain good option to minimize wound complications. Cannulated cancellous screw fixation is good option for intra articular calcaneal fracture.

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Wound complications following operative fixation of calcaneal fractures

Cited by 151 publications

References 6 publications

Postoperative complications after closed calcaneus fracture treated by open reduction and internal fixation: A review

Postoperative complications after closed calcaneus fracture treated by open reduction and internal fixation: A review

Minimizing Hardware in Intra-Articular Fracture Calcaneus

A study of intra articular calcaneal fractures treated with minimally invasive cannulated screw fixation

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