Relationship Between Soft Tissue Complications After Operation And Operation Opportunity Of The Calcaneus Fracture

Calcaneus is the largest tarsal bone of a human body, it plays an important roleduring walking and bear40%weight of the body. Calcaneus fracture is a commonly–seen fracture, it stands2%of the fracture of the whole body, Among which70%-75%are intra-articular fracture,20%-45%accompanied by calcaneocubiod joint damage, thedisability rate is30%. In this case, it is very important that how we treat the calcaneusfracture. It is time to realize the importance of calcaneus fracture in Ankles department.There are many different ways to treat the calcaneus fracture, most surgeons claimsurgical treatment. In evaluating response to therapy, open reduction and internalfixation (ORIF) has more benefit than conservative treatment in the long run. A largenumber of clinical trials showed that open reduction and internal fixation has afavorable therapeutic effect, excellent and good rate were above75%. But openreduction has it’s own complication: delayed union of the incision, flap necrosis afteroperation, surgical site infection and even osteomyelitis. If the calcaneus fracture istreated improperly it will leads to hospital stays Extend, increasing of theHospitalization Expenses, and even worse to the operation failure. How to reduce thecomplication of the ORIF, and reduce the financial burden、mental burden as well，isbecoming a hot topic recent years.Objective:To discuss the suspected risk factors of the ORIF treatment of thecalcaneus fracture which lead to Incision complications, find the appropriate operationopportunity to ORIF, to decrease postoperative complications.Method:A retrospective analysis was used to deal with155cases calcaneusfracture from July2007to October2011, all cases were made to unify the preoperation and postoperative therapy，operation method. Classify the155casesaccording to fracture type, sex, preoperative preparation time and age, fellow up allpatients from4month to4years, at an average of19month by postoperativeobservation and outpatient appointment. Use SPSS17.0to analysis the suspect factorsthat lead to soft tissue complications after operation. P<0.05showed statisticaldifferences between with and without the suspect factors.Results:We found a conclusion that there are difference in Postoperativecomplications of soft tissue between give an operation less than8hours and giveoperation during8hours to3days and during3days to7days; Operation from7days to14days have differences respectively with operation from8hours to3days andoperation from3days to7days; Give an operation from7days to14days have nodifference compare to take operation less than8hours.Conclusion:It can reduce postoperative complications of soft tissue to haveoperation less than8hours and between7-14days. It is better to give an operation lessthan8hours after injury if the soft tissue is permit, if the soft tissue condition is not well,make efforts to avoid the swelling period from8hours to7days and take operationduring7-14days.