ArticleMedicine2017
Risk factors of wound infection after open reduction and internal fixation of calcaneal fractures.
Article in Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Tourniquet use in lower limb fracture surgery: a systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Pooled it
- [Prehospital application of tourniquets for life-threatening extremity hemorrhage : Systematic review of literature].Der Unfallchirurg · 2018Pooled it
- Article
- Early Surgery and Screw-Only Osteosyntheses in Minimally Invasive Treatment of Calcaneal Fractures-Risk or Benefit for Our Patients?Journal of clinical medicine · 2025Article
- Adverse effect of smoking on surgical site infection following ankle and calcaneal fracture fixation: a meta-analysis.EFORT open reviews · 2024Article
- 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 · 2024Article
- Analysis of risk factors associated with incision complications in modified "L" approach for calcaneal fracture.American journal of translational research · 2024Article
- A risk prediction model for postoperative recovery of closed calcaneal fracture: a retrospective study.Journal of orthopaedic surgery and research · 2023Article
- Assessing the Risk of Postoperative Complications for Proximal Humeral Fractures Treated by Open Reduction and Internal Fixation in Patients With Diabetes and Chronic Kidney Disease.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
- Risk factors for deep surgical site infection following surgically treated peri-ankle fractures: a case-control study based on propensity score matching.Journal of orthopaedic surgery and research · 2022Article
- A nomogram for predicting post-operative wound complications after open reduction and internal fixation for calcaneal fractures.International wound journal · 2022Article
- A nomogram for predicting skin necrosis risk after open reduction and internal fixation for tibia fractures.International wound journal · 2022Article
- Development of a nomogram to predict surgical site infection after closed comminuted calcaneal fracture.BMC surgery · 2022Article
- Predictors for wound healing complications and prolonged hospital stay in patients with isolated calcaneal fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- The radiographic soft tissue thickness is associated with wound complications after open reduction and internal fixation of patella fractures.BMC musculoskeletal disorders · 2022Article
- Etiological spectrum and treatment outcome of wound infection in patients with open tibia and fibula fractures.American journal of translational research · 2022Article
- Fracture, nonunion and postoperative infection risk in the smoking orthopaedic patient: a systematic review and meta-analysis.EFORT open reviews · 2021Review
- The Effect of an Abnormal BMI on Orthopaedic Trauma Patients: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2020Review
- Article
- Soft tissue complications following extensile lateral compared with minimally invasive surgical approaches in the operative treatment of calcaneus fractures.Canadian journal of surgery. Journal canadien de chirurgieArticle
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
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 for wound infection after open reduction and internal fixation of calcaneal fractures.Patients with calcaneal fractures who were smokers and had a higher BMI had a high risk of wound infections. We suggested that surgeons wait to operate until swellings of the injured foot improved, and we also suggested the operation should be within 14 days after the injury.
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Registered trials
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