Analysis of common complications and influencing factors of "eight-shaped" double incision steel plate internal fixation in the treatment of calcaneal fracture
AISINGIORO Qicheng1 LI Chang1 FAN Yonghong1 GUO Jing2 WANG Binghai1
1.Department of Hand and Foot Microsurgery, the Second Affiliated Hospital of Inner Mongolia Medical University, Inner Mongolia Autonomous Region, Hohhot 010030, China；
2.Department of Obstetrics and Gynecology, the Affiliated Hospital of Inner Mongolia Medical University, Inner Mongolia Autonomous Region, Hohhot 010050, China
Abstract：Objective To study common complications and influencing factors of "eight-shaped" double incision steel plate internal fixation in the treatment of calcaneal fracture. Methods Clinical data of 129 cases of calcaneal fracture treated with "eight-shaped" double incision steel plate internal fixation in the Second Affiliated Hospital of Inner Mongolia Medical University from February 2014 to February 2016 was retrospectively analyzed. All patients were followed up for 2 years, and the incidence of complications was analyzed. All patients were divided into complications group (47 cases) and non complications group (82 cases) according to whether there were complications. The basic data of the two groups was compared and the multivariate Logistic regression analysis of the postoperative complications was made. Results Complications group had a higher proportion of patient′s age≥65 years, smoking, diabetes mellitus, the time from injury to surgery ＜ 5 d, the operative time≥1.5 h, non-use of Kirschner wire contactless stretch technique to protect soft tissue and non-placement of drainage tube than non-complications group (all P < 0.05). Multivariate Logistic regression analysis showed that age≥65 years, smoking, diabetes mellitus, the time from injury to surgery＜5 d, the operative time≥1.5 h, non-use of Kirschner wire contactless stretch technique to protect soft tissue and non-placement of drainage tube were all independent risk factors for complications after "eight-shaped" double incision steel plate internal fixation (all P < 0.05). Conclusion The common complications of "eight-shaped" double incision steel plate internal fixation in the treatment of calcaneal fracture include incision exudation, incision infection and deep venous thrombosis, and many factors may increase the risk of postoperative complications, scientific measures should be taken clinically.
爱新觉罗启承1 李昶1 范永宏1 郭静2 王炳海1. “八”字双切口钢板内固定治疗跟骨骨折常见并发症及影响因素分析[J]. 中国医药导报, 2019, 16(18): 69-72.
AISINGIORO Qicheng1 LI Chang1 FAN Yonghong1 GUO Jing2 WANG Binghai1. Analysis of common complications and influencing factors of "eight-shaped" double incision steel plate internal fixation in the treatment of calcaneal fracture. 中国医药导报, 2019, 16(18): 69-72.
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2019, Vol. 16 
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