Risk factors of wound infection after open reduction and internal fixation of calcaneal fractures

Medicine
Jun Su, Xuecheng Cao

Abstract

The aim of this study was to investigate the risk factors of wound infection after open reduction and internal fixation of calcaneal fractures.In all, 299 patients with 318 calcaneal fractures who underwent open reduction and internal fixation by a single surgeon were grouped according to different outcomes. We gathered the data on each patient including sex, age, injury mechanism, body mass index (BMI), time to operation, fracture type, associated injuries, treatment course, tourniquet time, blood loss, bone graft (yes or no), diabetes (yes or no), smoking history, and complications. Univariate analysis and multivariable analysis were used to determine the association between risk factors and wound infection.Patients who met the entry criteria included 267 males and 32 females with a mean age of 38.6 years. Among them, 5.3% (n = 17) suffered wound infection, and all of the wounds healed after different treatments. According to the univariate analysis, the patients who developed wound infections were active smokers, more obese (higher BMI), had a longer time from injury to operation, and longer tourniquet time. Multivariate analysis indicated that a higher BMI, delayed operation, and active smoking were independent risk factors...Continue Reading

References

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Citations

Aug 4, 2018·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Martin PræstegaardBjarke Viberg
Sep 4, 2019·Foot & Ankle International·Anne K BremerMartin Weber
May 7, 2020·Journal of Clinical Medicine·Florence KinderAnthony Howard
Nov 11, 2020·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Martin S DaveyJames C Walsh
Apr 21, 2021·The Journal of Bone and Joint Surgery. American Volume·Ida Leah GitajnUNKNOWN FLOW Investigators
Aug 18, 2020·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Sofia CarlucciNelly Marina Carrasco
Jan 7, 2022·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Felix Marius BläsiusPhilipp Lichte

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Methods Mentioned

BETA
amputation

Software Mentioned

SPSS Statistics

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