跟骨骨折术后切口愈合不良的中西医研究进展

Research Progress of Chinese and Western Medicine on Poor Wound Healing after Calcaneal Fracture

跟骨骨折是常见的跗骨骨折,常常由高能量损伤引起,大多数跟骨骨折都涉及到了关节面.对于明显移位并涉及关节内的复杂骨折,为尽可能达到解剖复位,仍需切开复位手术治疗.跟骨局部软组织脆弱,手术治疗术后切口愈合不良的发生率较高,主要有切口愈合缓慢、切口感染及皮缘坏死等.影响跟骨骨折术后切口愈合的因素很多,有必要予以针对性的预防与治疗,降低术后切口愈合不良的发生率.中医和西医2种手段结合应用,从不同角度或者病程的不同阶段予以预防和和治疗,有助于促进跟骨骨折术后切口愈合,降低切口愈合不良的发生率.

Calcaneal fracture is a common tarsal bone fracture,which is often caused by high energy injury.Most calcaneal fractures involve the articular surface.In order to achieve anatomical reduction as much as possible,open reduction surgery is still needed for complex fractures with obvious displacement and intra-articular involve-ment.The local soft tissue of calcaneus is fragile,and the incidence of poor wound healing after surgical treatment is high,mainly including slow wound healing,wound infection and cutaneous border necrosis,etc.There are many fac-tors affecting postoperative wound healing of calcaneus fracture,so it is necessary to take targeted prevention and treatment to reduce the incidence of postoperative wound healing.The combination of traditional Chinese medicine and western medicine can prevent and treat calcaneal fractures from different angles or at different stages of the dis-ease course,which is helpful to promote postoperative wound healing and reduce the incidence of poor wound heal-ing.