Wound Healing Complications in Closed and Open Calcaneal Fractures

Benirschke, Stephen K.; Kramer, Patricia Ann

doi:10.1097/00005131-200401000-00001

Cited by 225 publications

(168 citation statements)

References 21 publications

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“…1,4,19,20,22,25 In our study, we confirm the correlation between postoperative Boehler's angle size and patient's satisfaction, as well as articular congruence. This fact is verified and confirmed by a lot of authors.…”

Section: Discussionsupporting

confidence: 84%

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Evaluation of functional outcome and complications of locking calcaneum plate for fracture calcaneum

Kumar

Krishna²,

Singh³

et al. 2015

Journal of Clinical Orthopaedics and Trauma

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Locking calcaneal plate a b s t r a c t Background: Open reduction and internal fixation (ORIF) is the treatment of choice for displaced intra-articular calcaneal fracture at many orthopaedic trauma centres. In this prospective study, we evaluated the functional outcome and complications of locking compressive calcaneum plate for displaced intra-articular fracture calcaneum.Methods: Between October 2011 and March 2012, 30 patients with displaced intra-articular fracture calcaneum attending the outdoor and emergency of our institute were included in the study. All the included patients were operated using standard lateral approach and followed up to 1 year.Results: Of 30 patients, 14 (48%) patients were Sander's type II, 10 (33%) were type III, and 6 (20%) were type IV. All the patients were evaluated post-operatively. Articular surface of posterior facet of calcaneum and crucial angle of Gissane was maintained in all patients. Four patients had post-operative Boehler's angle <208 and 26 patients had between 218 and 408. All the patients having post-operative Boehler's angle <208 were type IV as compared to types II and III (statistically significant). Ninety-six percentage of patients having post-operative Boehler's angle 21-408 were more satisfied at 1 year as compared to 25% of patients having post-operative Boehler's angle <208 (statistically significant). Complications were present in 6 (20%) patients.Conclusion: ORIF with locking compressive plate in displaced intra-articular fracture calcaneum gives good outcome. Results are more favourable in less comminuted as compared to more comminuted. Maintenance of Boehler's angle is also necessary for satisfactory results along with maintenance of articular congruence of posterior facet of calcaneum and crucial angle of Gissane.

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Section: Discussionsupporting

confidence: 84%

“…[1][2][3][19][20][21][22][23][24][25][26] The method has been improved by implanting locking compressive plate, the osteosynthesis is more stable, to enable early weight bearing and bone grafting is rarely required. In our study only 6 (20%) patients had complications.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of functional outcome and complications of locking calcaneum plate for fracture calcaneum

Kumar

Krishna²,

Singh³

et al. 2015

Journal of Clinical Orthopaedics and Trauma

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“…Patients with open fractures and/or treatment with an external fixator prior to ORIF were excluded because of the increased risk of post-operative wound complications [9,11,12]. Patients with bilateral calcaneal fractures were excluded because of the unfeasibility of performing an independent analysis of two fractures in the same patient.…”

Section: Methodsmentioning

confidence: 99%

“…The incidence of a wound infection following operative treatment of closed calcaneal fractures varies between 2 % and 25 % and rates of complications requiring surgery are up to 21 % [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] (Table 1).…”

Section: Introductionmentioning

confidence: 99%

Wound infections following open reduction and internal fixation of calcaneal fractures with an extended lateral approach

Backes

Schepers

Beerekamp

et al. 2013

International Orthopaedics (SICOT)

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Purpose Post-operative wound infections (PWI) following calcaneal fracture surgery can lead to prolonged hospital stay and additional treatment with antibiotics, surgical debridement or implant removal. Our aim was to determine the incidence of superficial and deep PWI and to identify risk factors (RF). Methods This study is a retrospective case series. All consecutive patients from 2000 to 2010 with a closed unilateral calcaneal fracture treated with open reduction and internal fixation (ORIF) by an extended lateral approach were included. Patient, fracture, trauma and peri-operative characteristics were collected, including RF such as smoking, diabetes mellitus, time to operation, pre-operative in-or outpatient management and wound closure technique. The primary end point was a PWI as defined by the US Centers for Disease Control and Prevention. Results A total of 191 patients were included of which 47 patients (24.6 %) had a PWI; 21 (11.0 %) and 26 (13.6 %) patients had a superficial and deep wound infection, respectively. American Society of Anesthesiologists (ASA) classification higher than ASA 1 was associated with an increased risk. Placement of a closed suction drain at the end of surgery was associated with less PWI (35 % vs 15 %, p =0.002). In this study, none of the previously reported RF were associated with an increased risk for PWI. Conclusions ORIF of displaced calcaneal fractures is associated with a high rate of PWI of 25 %. Factors that were associated with an increased risk were ASA classification other than 1 and absence of a closed suction drain placement.A closed suction drain may be a protective measure to avoid wound complications.

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“…4,5 Several predisposing factors contribute to wound complications. Furthermore, the Sanders classification 6 can be predictive of complication rates.…”

mentioning

confidence: 99%

Incorporating Platelet Rich Plasma and Platelet Poor Plasma into Open Reduction Internal Fixation of Closed Calcaneus Fractures to Reduce Wound Complication: A Case Study

Motley¹,

Clements²

2009

FAOJ

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Wound Healing Complications in Closed and Open Calcaneal Fractures

Cited by 225 publications

References 21 publications

Evaluation of functional outcome and complications of locking calcaneum plate for fracture calcaneum

Evaluation of functional outcome and complications of locking calcaneum plate for fracture calcaneum

Wound infections following open reduction and internal fixation of calcaneal fractures with an extended lateral approach

Incorporating Platelet Rich Plasma and Platelet Poor Plasma into Open Reduction Internal Fixation of Closed Calcaneus Fractures to Reduce Wound Complication: A Case Study

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