Evaluation of wound complications following surgical treatment using the extended lateral approach for intraarticular fractures of the calcaneus

Authors

  • Márcio Gomes Figueiredo
  • Helencar Ignácio
  • Carlos Tadeu Rocha Vieira
  • Leonardo Daí Mino

Keywords:

Postoperative complications, Calcaneus/surgery, Fracture fixation, Internal, surgical wound, Dehiscence, Osteomyelitis

Abstract

Objective: To evaluate the complications of extended lateral approach in the surgical treatment of intra-articular fractures of the calcaneus in a university hospital. Methods: From January 2010 to December 2012 were reviewed 37 patients with intraarticular fractures, surgically treated by open reduction and internal fixation, accomplishing the lateral extended approach. Data collection was conducted through interviews and review of medical records. The analysis was performed using descriptive techniques (absolute frequency, relative frequency and measures of central tendency  mean and median), represented by tables and graphs. Results: Seventeen of 43 (39.5%) operated feet had complications in the surgical wound, dehiscence occurred in 9 cases (20.9%), superficial infection in 1 patient (2.3%), 4 deep infections (9.3%) and one case of neuropraxia of the sural. Conclusions: We conclude that the extended lateral approach in the treatment of intra-articular fractures of the calcaneus with deviation despite facilitate more direct approach by viewing, had a high rate of complications, such as wound dehiscence the most common, but similar to those described in literature.

Author Biographies

Márcio Gomes Figueiredo

Grupo do Pé e Tornozelo, Hospital de Base, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brasil.

Helencar Ignácio

Grupo do Pé e Tornozelo, Hospital de Base, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brasil.

Carlos Tadeu Rocha Vieira

Serviço de Ortopedia e Traumatologia, Hospital de Base, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brasil.

Leonardo Daí Mino

Serviço de Ortopedia e Traumatologia, Hospital de Base, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brasil.

Published

2015-06-23

How to Cite

Figueiredo, M. G., Ignácio, H., Vieira, C. T. R., & Daí Mino, L. (2015). Evaluation of wound complications following surgical treatment using the extended lateral approach for intraarticular fractures of the calcaneus. Tobillo Y Pie, 7(1), 6–13. Retrieved from https://scijfootankle.emnuvens.com.br/tobilloypie/article/view/1452

Issue

Section

Original Articles