Regression analysis of controllable factors of surgical incision complications in closed calcaneal fractures
Background: In surgeries of closed calcaneal fractures, the lateral L-shaped incision is usually adopted. Undesirable post-operative healing of the incision is a common complication. In this retrospective study, controllable risk factors of incision complications after closed calcaneal fracture surg...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Journal of Research in Medical Sciences |
| Subjects: | |
| Online Access: | http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2014;volume=19;issue=6;spage=495;epage=501;aulast=Wu |
| _version_ | 1818898323154665472 |
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| author | Kai Wu Chuanshun Wang Qiugen Wang Haoqing Li |
| author_facet | Kai Wu Chuanshun Wang Qiugen Wang Haoqing Li |
| author_sort | Kai Wu |
| collection | DOAJ |
| description | Background: In surgeries of closed calcaneal fractures, the lateral L-shaped incision is usually adopted. Undesirable post-operative healing of the incision is a common complication. In this retrospective study, controllable risk factors of incision complications after closed calcaneal fracture surgery through a lateral L-shaped incision are discussed and the effectiveness of clinical intervention is assessed. Materials and Methods: A review of medical records was conducted of 209 patients (239 calcaneal fractures) surgically treated from June 2005 to October 2012. Univariate analyses were performed of seven controllable factors that might influence complications associated with the surgical incision. Binomial multiple logistic regression analysis was performed to determine factors of statistical significance. Results: Twenty-one fractures (8.79%) involved surgical incision complications, including 8 (3.35%) cases of wound dehiscence, 7 (2.93%) of flap margin necrosis, 5 (2.09%) of hematoma, and 1 (0.42%) of osteomyelitis. Five factors were statistically significant : t0 he time from injury to surgery, operative duration, post-operative drainage, retraction of skin flap, bone grafting, and patients′ smoking habits. The results of multivariate analyses showed that surgeries performed within 7 days after fracture, operative time > 1.5 h, no drainage after surgery, static skin distraction, and patient smoking were risk factors for calcaneal incision complications. The post-operative duration of antibiotics and bone grafting made no significant difference. Conclusion: Complications after calcaneal surgeries may be reduced by postponing the surgery at least 7 days after fracture, shortening the time in surgery, implementing post-operative drainage, retracting skin flaps gently and for as short a time as possible, and prohibiting smoking. |
| first_indexed | 2024-12-19T19:30:14Z |
| format | Article |
| id | doaj.art-e7946d15b2274869aae2e9677465dd61 |
| institution | Directory Open Access Journal |
| issn | 1735-1995 1735-7136 |
| language | English |
| last_indexed | 2024-12-19T19:30:14Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Research in Medical Sciences |
| spelling | doaj.art-e7946d15b2274869aae2e9677465dd612022-12-21T20:08:38ZengWolters Kluwer Medknow PublicationsJournal of Research in Medical Sciences1735-19951735-71362014-01-01196495501Regression analysis of controllable factors of surgical incision complications in closed calcaneal fracturesKai WuChuanshun WangQiugen WangHaoqing LiBackground: In surgeries of closed calcaneal fractures, the lateral L-shaped incision is usually adopted. Undesirable post-operative healing of the incision is a common complication. In this retrospective study, controllable risk factors of incision complications after closed calcaneal fracture surgery through a lateral L-shaped incision are discussed and the effectiveness of clinical intervention is assessed. Materials and Methods: A review of medical records was conducted of 209 patients (239 calcaneal fractures) surgically treated from June 2005 to October 2012. Univariate analyses were performed of seven controllable factors that might influence complications associated with the surgical incision. Binomial multiple logistic regression analysis was performed to determine factors of statistical significance. Results: Twenty-one fractures (8.79%) involved surgical incision complications, including 8 (3.35%) cases of wound dehiscence, 7 (2.93%) of flap margin necrosis, 5 (2.09%) of hematoma, and 1 (0.42%) of osteomyelitis. Five factors were statistically significant : t0 he time from injury to surgery, operative duration, post-operative drainage, retraction of skin flap, bone grafting, and patients′ smoking habits. The results of multivariate analyses showed that surgeries performed within 7 days after fracture, operative time > 1.5 h, no drainage after surgery, static skin distraction, and patient smoking were risk factors for calcaneal incision complications. The post-operative duration of antibiotics and bone grafting made no significant difference. Conclusion: Complications after calcaneal surgeries may be reduced by postponing the surgery at least 7 days after fracture, shortening the time in surgery, implementing post-operative drainage, retracting skin flaps gently and for as short a time as possible, and prohibiting smoking.http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2014;volume=19;issue=6;spage=495;epage=501;aulast=Wuc0 alcaneal fracturescalcaneusincisionopen reduction with internal fixationsurgical complication |
| spellingShingle | Kai Wu Chuanshun Wang Qiugen Wang Haoqing Li Regression analysis of controllable factors of surgical incision complications in closed calcaneal fractures Journal of Research in Medical Sciences c0 alcaneal fractures calcaneus incision open reduction with internal fixation surgical complication |
| title | Regression analysis of controllable factors of surgical incision complications in closed calcaneal fractures |
| title_full | Regression analysis of controllable factors of surgical incision complications in closed calcaneal fractures |
| title_fullStr | Regression analysis of controllable factors of surgical incision complications in closed calcaneal fractures |
| title_full_unstemmed | Regression analysis of controllable factors of surgical incision complications in closed calcaneal fractures |
| title_short | Regression analysis of controllable factors of surgical incision complications in closed calcaneal fractures |
| title_sort | regression analysis of controllable factors of surgical incision complications in closed calcaneal fractures |
| topic | c0 alcaneal fractures calcaneus incision open reduction with internal fixation surgical complication |
| url | http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2014;volume=19;issue=6;spage=495;epage=501;aulast=Wu |
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