Evidence map›Paper›PMID 25882442›Full record

SynthesisScandinavian journal of trauma, resuscitation and emergency medicine2015

Risk factors for wound complications of closed calcaneal fractures after surgery: a systematic review and meta-analysis.

Wei Zhang, Erman Chen, Deting Xue, Houfa Yin, Zhijun Pan

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Scandinavian journal of trauma, resuscitation and emergency medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 50 citations in OpenAlex.

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  6. Functional outcomes after intramedullary nailing (C-Nail®) of severe calcaneal fractures with mean follow-up of 36 months.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
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  15. Observational
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  18. Minimally invasive (sinus tarsi) approach for calcaneal fractures.Journal of orthopaedic surgery and research · 2016
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Wei ZhangDepartment of Orthopedics, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, People's Republic of China. zhangweilook@zju.edu.cn.
Erman ChenDepartment of Orthopedics, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, People's Republic of China. 21318096@zju.edu.cn.
Deting XueDepartment of Orthopedics, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, People's Republic of China. xuedeting@163.com.
Houfa YinEye Center, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, People's Republic of China. yinhoufa@zju.edu.cn.
Zhijun PanDepartment of Orthopedics, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, People's Republic of China. panzhijunzw@163.com.
Second Affiliated Hospital of Zhejiang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo better clinical outcomes, open reduction and internal fixations (ORIFs) have been commonly performed in the case of closed displaced intra-articular calcaneal fractures (CDICFs). Nonetheless, postoperative wound complications remain a significant problem. Therefore, the aim of our study is to summarise relevant evidence investigating the risk factors for postoperative wound complications of CDICFs following ORIFs.

methodsA meta-analysis was conducted on relevant clinical studies to identify the risk factors for wound complications of CDICFs after ORIFs. Electronic databases were searched for all relevant studies up to October 2014. The Newcastle-Ottawa scale was used to evaluate the methodological quality, and study-specific odds ratios (ORs) were pooled using the fixed-effects model or random-effects model. Sensitivity analysis and meta-regression analysis was performed to evaluate the heterogeneity.

resultsTen observational studies involving 1559 patients with 1651 fractures were included in this meta-analysis. The results showed that diabetes (OR, 9.76; p < 0.01), no drainage (OR, 5.86; p < 0.01), fracture severity (OR, 3.31; p < 0.01) and bone graft (OR, 1.74; p < 0.01) were the risk factors for wound complications of CDICFs after ORIFs. A trend of more wound complications in patients with a history of smoking was detected. However, female patients, ORIFs performed within 14 days of injury, smoking, hypertension and drinking did not significantly increase the risk of wound complications (p > 0.05).

conclusionsBased on available relevant evidence, bone graft, diabetes, no drainage and fracture severity were all associated with an increased risk of wound complications after ORIF for CDICFs.

Indexed as

CalcaneusFracture Fixation, InternalFractures, BoneHumansPostoperative ComplicationsRisk Factors

Identifiers

PMID25882442
PMCPMC4324403
OpenAlexW2016608287

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.