A SIMPLE COST-EFFECTIVE WAY TO REDUCE WOUND COMPLICATIONS FOLLOWING THE OPEN REDUCTION AND INTERNAL FIXATION OF INTRA-ARTICULAR CALCANEAL FRACTURES

Anindya Debnath; Nitesh Rathi; Santanu Suba; Dinesh Raju

doi:10.1302/1358-992X.2020.11.067

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A SIMPLE COST-EFFECTIVE WAY TO REDUCE WOUND COMPLICATIONS FOLLOWING THE OPEN REDUCTION AND INTERNAL FIXATION OF INTRA-ARTICULAR CALCANEAL FRACTURES

The 28th Annual Meeting of the European Orthopaedic Research Society (EORS), held online, 17–18 September 2020.

Anindya Debnath
Nitesh Rathi
Santanu Suba
Dinesh Raju

A SIMPLE COST-EFFECTIVE WAY TO REDUCE WOUND COMPLICATIONS FOLLOWING THE OPEN REDUCTION AND INTERNAL FIXATION OF INTRA-ARTICULAR CALCANEAL FRACTURES

Debnath A, Rathi N, Suba S, Raju D. A SIMPLE COST-EFFECTIVE WAY TO REDUCE WOUND COMPLICATIONS FOLLOWING THE OPEN REDUCTION AND INTERNAL FIXATION OF INTRA-ARTICULAR CALCANEAL FRACTURES. Orthop Procs. 2020;102-B(SUPP_11):67-67. doi:10.1302/1358-992X.2020.11.067

Debnath, Anindya, et al. “A SIMPLE COST-EFFECTIVE WAY TO REDUCE WOUND COMPLICATIONS FOLLOWING THE OPEN REDUCTION AND INTERNAL FIXATION OF INTRA-ARTICULAR CALCANEAL FRACTURES.” Orthopaedic Proceedings, vol. 102-B, no. SUPP_11, 2020, pp. 67-67., https://doi.org/10.1302/1358-992X.2020.11.067

Debnath, A., Rathi, N., Suba, S., & Raju, D. (2020). A SIMPLE COST-EFFECTIVE WAY TO REDUCE WOUND COMPLICATIONS FOLLOWING THE OPEN REDUCTION AND INTERNAL FIXATION OF INTRA-ARTICULAR CALCANEAL FRACTURES. Orthopaedic Proceedings, 102-B(SUPP_11), 67-67. https://doi.org/10.1302/1358-992X.2020.11.067

Debnath, A., Rathi, N., Suba, S. and Raju, D. (2020) “A SIMPLE COST-EFFECTIVE WAY TO REDUCE WOUND COMPLICATIONS FOLLOWING THE OPEN REDUCTION AND INTERNAL FIXATION OF INTRA-ARTICULAR CALCANEAL FRACTURES.” Orthopaedic Proceedings, 102-B(SUPP_11), pp. 67-67. Available at: https://doi.org/10.1302/1358-992X.2020.11.067

Debnath, Anindya, Nitesh Rathi, Santanu Suba, and Dinesh Raju. “A SIMPLE COST-EFFECTIVE WAY TO REDUCE WOUND COMPLICATIONS FOLLOWING THE OPEN REDUCTION AND INTERNAL FIXATION OF INTRA-ARTICULAR CALCANEAL FRACTURES.” Orthopaedic Proceedings 102-B, no. SUPP_11 (2020): 67-67. https://doi.org/10.1302/1358-992X.2020.11.067

Debnath A, Rathi N, Suba S, Raju D. A SIMPLE COST-EFFECTIVE WAY TO REDUCE WOUND COMPLICATIONS FOLLOWING THE OPEN REDUCTION AND INTERNAL FIXATION OF INTRA-ARTICULAR CALCANEAL FRACTURES. Orthop Procs. 2020 Dec 1;102-B(SUPP_11):67-67. https://doi.org/10.1302/1358-992X.2020.11.067

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Abstract

Introduction

Intraarticular calcaneal fractures often need open reduction and internal fixation (ORIF) with plate osteosynthesis. The wound complication is one of the common problems encountered following this and affects the outcome adversely. Our study was done to assess how far postoperative slab/cast can avert wound complications.

Methods

Out of 42 patients with unilateral intraarticular calcaneal fractures, 20 were offered postoperative slab/cast and this was continued for six weeks. The remaining 22 patients were not offered any plaster. All patients were followed-up for two years.

Results

The incidence of wound dehiscence was 2 in the plaster group as well as 8 in the non-plaster group and this was statistically significant (p = 0.02). Also, significantly lower heel widening was reported in the plaster group (p = 0.03). Although, there was no significant difference in the patient-reported outcome (Maryland Foot Score) and the incidence of pain between the two groups, the occurrence of neurological deficit following surgery and the postoperative range of movements were comparable in these two groups.

Conclusion

Thus, it may be concluded that postoperative plaster application for the initial six weeks could be a low-cost yet effective way to reduce wound complications following plate osteosynthesis in intraarticular calcaneal fractures.