影响跟骨闭合性骨折术后愈合和皮瓣坏死的因素分析

Abstract
Figure/Table
References (0)
Related Citation (2)

Download: PDF (366 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analyze the risk factors of slow incision healing and flap necrosis after the operation of closed calcaneal fracture，and to provide some references for the prevention and treatment of soft tissue complications after the operation of closed calcaneal fracture.Methods 402 patients with closed calcaneal fracture from March 2011 to March 2016 in the Traditional Chinese Medicine Hospital of Zhangjiagang and First Hospital Affiliated to Soochow University were selected and divided into two groups according to the occurrence of the soft tissue complications，including the patients with slow incision healing and flap necrosis as the occurrence group，and the patients without slow incision healing and flap necrosis as the nonoccurrence group. The incidence of soft tissue complications and clinical data between the two groups were compared，the factors with statistical difference were involved in the Logistic regression analysis，and the risk factors of slow incision healing and flap necrosis after the operation of closed calcaneal fracture were summarized. Results 50 of 402 patients were observed the soft tissue complications，the incidence rate was 12.44％，29 cases (58.00％) with slow incision healing，and 21 patients (42.00％) with flap necrosis. Multivariate analysis showed that diabetes and steel plate internal fixation were risk factors for slow incision healing and flap necrosis，and dynamic traction and autogenous iliac bone graft were protective factors (P＜0.05).Conclusion The incidence of soft tissue complications after the operation of closed calcaneal fracture is closely related to the physical status and the operation scheme. The adjustment of blood glucose level and the scientific operation should be paid more attention.

Key words： closed calcaneal fracture incision healing flap necrosis soft tissue complications risk factor

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2017/V23/I4/309

［1］Poon H，Le Cocq H，Mountain AJ，et al.Dermal fenestration with negative pressure wound therapy：a technique for managing soft tissue injuries associated with high-energy complex foot fractures［J］.J Foot Ankle Surg，2016，55(1)：161-165.
［2］Scolaro JA，Roberts ZV，Benirschke SK，et al.Open surgical management of high energy ipsilateral fractures of the fibula and calcaneus［J］.Foot Ankle Surg，2015，21(3)：182-186.
［3］郝东升，陈晨，王东.跟骨骨折外侧延长L形切口并发症非手术相关危险因素分析［J］.中国修复重建外科杂志，2013，27(1)：30-35.
［4］Ding L，He Z，Xiao H，et al.Risk factors for postoperative wound complications of calcaneal fractures following plate fixation［J］.Foot Ankle Int，2013，34(9)：1238-1244.
［5］尚博.跟骨骨折切开复位内固定不同手术时机与术后软组织并发症的关系［J］.实用临床医药杂志，2014，18(19)：66-69.
［6］Ho CJ，Huang HT，Chen CH，et al.Open reduction and internal fixation of acute intra-articular displaced calcaneal fractures：a retrospective analysis of surgical timing and infection rates［J］.Injury，2013，44(7)：1007-1010.
［7］沈玉春，丁亮，薛锋，等.跟骨闭合性骨折术后软组织并发症的影响因素分析［J］.山东医药，2016，56(16)：42-44.
［8］Scolaro JA，Schenker ML，Yannascoli S，et al.Cigarette smoking increases complications following fracture［J］.J Bone Joint Surg(Am)，2014，96(8)：674-681.
［9］任敬，鲁超，郭浩，等.两种手术方法治疗跟骨骨折的术后并发症研究［J］.实用骨科杂志，2015，21(8)：745-748.
［10］Ketz JP，Maceroli M，Shields E，et al.Peroneal tendon instability in intra-articular calcaneus fractures：a retrospective comparative study and a new surgical technique［J］.J Orthop Trauma，2016，30(3)：e82-e87.