闭合性跟骨骨折内固定术后切口并发症分析

目的分析闭合性跟骨骨折内固定术后软组织并发症并探讨其风险因素。方法对经手术治疗的126例(148足)闭合性跟骨骨折进行回顾性分析。结果术后35足(24%)切口愈合不良,其中23足(16%)切口感染,12足(8%)切口边缘坏死。20足(14%)软组织感染需要手术处理。随访结束时全部切口均愈合。结论统计分析认为时间较长的延期手术和手术时间是引起切口并发症的促进因素。

Objective The aim of the study was to analyse the number of soft-tissue complications after internal fixation of calcaneal fractures and to evaluate risk factors leading to these complications. Methods A retrospective analysis of 126 consecutive patients with 148 operatively treated calcaneal fractures was performed. Only primarily closed fractures were includedin the study. Results Wound healing was problematic in 35 cases （24 per cent）. The wound was infected in 23 cases （16 per cent） and a wound edge necrosis was observed in 12 cases （8 per cent）. The soft tissue complication needed operative treatment in 20 cases （14 percent）. The complications did not lead to amputations in any case. In the end of the follow up all wounds had healed. Conclusion The statistical analysis identified a longer delay in surgery and longer operation time to be positive risk factors for wound complications.