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| Effect of Allgower-Donati addition method on the initial healing of calcaneal fracture |
| ZHOU Xiongdong1 ZHANG Weilong1 LI Jun2 |
1.Department of Orthopaedics, Jieshou City People Hospital, Anhui Province, Jieshou 236500, China;
2.Department of Orthopaedics, the Second Hospital of Anhui Medical University, Anhui Province, Hefei 230601, China |
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Abstract Objective To analyze the effects of two different suture methods on the healing of incisions after calcaneal fracture surgery. Methods A total of 62 patients with calcaneal fractures who underwent open reduction and internal fixation at Jieshou City People Hospital from January 2015 to December 2018 were selected. According to different incision suture methods, they were divided into experimental group (31 cases) and control group (31 cases). The experimental group was used Allgower-Donati suture, while the control group was used intermittent vertical mattress suture. The operation time, incision suture time, inflammatory reaction area of the skin around the incision, the differences in incision skin temperature and the healing of the incision were compared between the two groups. Results Both groups of patients successfully completed the operation. The incision suture time of the experimental group was shorter than that of the control group, and the difference was statistically significant (P ＜ 0.05). The inflammation reaction area of the skin around the incision in the experimental group was significantly smaller than that in the control group, and the difference was statistically significant (P ＜ 0.05). The differences in incision skin temperature between the two groups were statistically significant in different time and between groups (P ＜ 0.05). Among them, the differences in incision skin temperature between the experimental group and the control group on the third day after surgery were lower than those on the first and second days after surgery, while the difference on the second day after surgery was lower than that on the first day after surgery, and the differences were statistically significant (P ＜ 0.05); the differences in skin temperature of the experimental group were lower than those of the control group on the second and third day after surgery, and the differences were statistically significant (P ＜ 0.05). There was no significant difference in the incidence of complications between the two groups (P ＞ 0.05). Conclusion Compared with the traditional vertical mattress suture method, the Allgower-Donati suture method is used to treat the “L”-shaped incision in patients with calcaneal fractures. The incision suture time is shorter and the area of skin inflammation around the incision is smaller. It is worthy of promotion.
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