未经证实:尽管存在关于跟骨骨折的研究,移位的跟骨关节内骨折(DIACF)的治疗方法仍存在争议.最常见的方法,可伸缩横向进近(ELA),据报道,治疗DIACFs的伤口并发症发生率很高。相比之下,由于其微创技术,关节窦入路(STA)变得越来越流行。这项回顾性研究的目的是调查通过STA手术固定后DIACF高危患者伤口并发症的发生率。
未经批准:在IRB批准后,在2007年至2013年之间进行了回顾性图表审查,以评估高危患者是否存在伤口并发症,包括深部感染和伤口愈合延迟,在使用STA管理DIACF之后(n=36)。人口统计,危险因素,记录次要结局,如手术时间.
未经证实:在我们研究的36名高危患者中,通过STA进行手术固定后,有7人出现了术后并发症。具体来说,四名患者伤口愈合延迟,三个人发生了深部感染。手术时间对术后并发症的负面影响最大,并且受年龄的影响,性别,还有伴随的损伤.
未经批准:总而言之,这项研究表明,STA是移位关节内骨折高危患者的可行选择.此外,手术时间应该最小化,如果可能,为了减少术后并发症的风险,包括感染和伤口愈合延迟。
UNASSIGNED: Though research exists regarding calcaneal fractures, the treatment approach for displaced intra-articular calcaneal fractures (DIACF) remains controversial. The most common approach, the extensile lateral approach (ELA), for the treatment of DIACFs has high rates of wound complications reported. In contrast, the sinus tarsi approach (STA) is becoming more popular due to its minimally invasive technique. The objective of this retrospective study is to investigate the incidence of wound complications in high-risk patients with DIACF following operative fixation via the STA.
UNASSIGNED: Following IRB approval, a retrospective chart review was performed between 2007 and 2013 to assess high-risk patients for the presence of wound complications, including deep infections and delayed wound healing, following the use of STA for the management of DIACF\'s (n = 36). Demographics, risk factors, and secondary outcomes such as time to surgery were recorded.
UNASSIGNED: Of the 36 high-risk patients included in our study, seven had post-operative complications following operative fixation via the STA. Specifically, four patients had delayed wound healing, and three developed deep infections. Time to surgery had the greatest negative effect on postoperative complications and was influenced by age, sex, and the presence of a concomitant injury.
UNASSIGNED: In conclusion, this study demonstrates that the STA is a viable option for high-risk patients with displaced intra-articular fractures. Additionally, time to surgery should be minimized, when possible, to reduce risks of post-operative complications, including infections and delayed wound healing.