ArticleJournal of orthopaedic surgery and research2018
Incidence and predictors of surgical site infection after ORIF in calcaneus fractures, a retrospective cohort study.
Article in Journal of orthopaedic surgery and research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 4 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Percutaneous screw osteosynthesis for the treatment of intra-articular displaced calcaneus fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Pooled it
- Pediatric calcaneal osteomyelitis: an analysis of literature-reported 128 cases.BMC infectious diseases · 2024Pooled it
- Comparison between intramedullary nail and conventional plate for displaced intra-articular calcaneal fractures: A meta-analysis.Joint diseases and related surgery · 2024Pooled it
- Efficacy of Sinus Tarsal Approach Compared With Conventional L-Shaped Lateral Approach in the Treatment of Calcaneal Fractures: A Meta-Analysis.Frontiers in surgery · 2020Pooled it
- Risk factor of postoperative incision infection after plate internal fixation of calcaneal fractures: a retrospective study.BMC musculoskeletal disorders · 2022Trial
- Treatment Options in Managing Infections Following Calcaneal Fractures: A Systematic Review.Life (Basel, Switzerland) · 2026Review
- Eggshell debridement combined with vascularized fibular grafting for the treatment of bilateral calcaneal osteomyelitis and bone defects: a case report.Frontiers in surgery · 2026Article
- Identifying predictors of surgical site infection in closed patellar fracture surgery: a multicenter study.Scientific reports · 2025Article
- Subtalar joint arthroscopic-assisted reduction and cannulated screw fixation versus open reduction and internal fixation for treating displaced intra-articular calcaneal fractures.Journal of orthopaedic surgery and research · 2025Article
- Intraoperative zero-heat-flux thermometry overestimates nasopharyngeal temperature by 0.39 °C: an observational study in patients undergoing congenital heart surgery.Journal of clinical monitoring and computing · 2025Observational
- Incidence and Risk Factors of Infection After Fracture Fixation: A Multicenter Cohort Study.Orthopaedic surgery · 2025Article
- Preoperative Hemoglobin Level Predicts Surgical Site Infections in Trauma Orthopedic Surgery: A Cohort Study.Journal of tropical medicine · 2025Article
- Analysis of risk factors associated with incision complications in modified "L" approach for calcaneal fracture.American journal of translational research · 2024Article
- Factors Contributing to Surgical Site Infections: A Comprehensive Systematic Review of Etiology and Risk Factors.Clinics and practice · 2023Review
- The role of preoperative glycemic control in decreasing surgical site infections in lower extremity fractures.Journal of orthopaedic surgery and research · 2023Article
- Current Concepts of Fracture-Related Infection.International journal of clinical practice · 2023Review
- A nomogram for predicting post-operative wound complications after open reduction and internal fixation for calcaneal fractures.International wound journal · 2022Article
- Development of a nomogram to predict surgical site infection after closed comminuted calcaneal fracture.BMC surgery · 2022Article
- Relationship between surgeon volume and the risk of deep surgical site infection (DSSI) following open reduction and internal fixation of displaced intra-articular calcaneal fracture.International wound journal · 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
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOccurrence of calcaneus fractures is on the up trend. Owing to its unique anatomical morphology and limited soft-tissue envelope, management of calcaneus fractures is a challenge to the orthopaedic surgeon, and surgical site infection (SSI) is one of the serious postoperative complications. In order to decrease the incidence of wound breakdown and improve clinical outcomes, it is necessary to understand which factors were associated with SSI. The aim of this study was to identify predictors of SSI and quantify the incidence of SSI in calcaneus fractures following open reduction and internal fixation (ORIF).
methodsThis retrospective study was performed at a level 1 trauma center from January 2014 to June in 2017. Data of adult patients with calcaneus fractures treated by ORIF were extracted from the electronic medical records. A total of 681 patients were collected. We reviewed the patients' demographics, characteristics of fracture, treatment-related variables, and indexes of laboratory examination. Univariate and multivariate logistic analysis models were performed respectively to determine independent predictors of SSI.
resultsSixty-six patients developed SSI in this study. The overall incidence of SSI after ORIF of calcaneus fracture was 9.7%, with 2.9% for deep infection and 6.8% for superficial SSI. Independent predictors of SSI identified by multivariate analysis were open fracture (odds ratio = 9.48, 95% CI = 4.53-19.85, P = 0.00007), high-energy injury (odds ratio = 2.07, 95% CI = 1.16-3.70, P = 0.01437), ASA class 3 or higher (odds ratio = 3.50, 95% CI = 1.18-10.37, P = 0.02401), and intraoperative temperature < 36.0 °C (odds ratio = 1.69, 95% CI = 1.13-2.28, P = 0.04410).
conclusionThe SSI incidence was high (9.7%) for calcaneus fractures following ORIF. External fixation plays an important role in the treatment of severely displaced and depressed intra-articular or open calcaneus fractures. Increased ASA class and intraoperative hypothermia were associated with wound breakdown, and elaborative evaluation of fracture and soft-tissue damage was vitally necessary in this at-risk population.
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