Effects Of Different Bone Graft Materials On Incision Healing Of Calcaneal Fractures

Objective To study effects of two different bone graft materials (autogenous iliac bone,allogenic bone) on incision healing of calcaneal fractures to provide references forchoosing treatment options of preoperative and postoperative.Methods This retrospective study of the subject of the First Affiliated Hospital ofAnhui Medical University from January2010to December2012,76patients withunilateral calcaneal fractures received open reduction and internal fixation(ORIF) withplate and bone graft. There were53males and23females with mean age of39.5yearsold. There were40cases in group of autogenous iliac bone(Group A) and36cases ingroup of allogenic bone(Group B). Statistical methods were used to estimate thepatients’ age， time of injury to surgery, time of Incision drying and healing,postoperative drainage volume of24hours.Results Group A:mean age was (39.43±11.71) years old, mean time of injury tosurgery was (10.27±2.54) d, mean drying time of incision was (6.02±1.37)d, meantime of incision healing was (14.08±1.27)d, postoperative drainage volume of24hourswas (78.58±13.92)ml; Group B: mean age was (9.53±10.52)years old, mean time ofinjury to surgery was (9.14±3.19) d, mean drying time of incision was (8.08±1.02)d,mean time of incision healing was (16.14±1.84)d, postoperative drainage volume of24hours was (96.69±13.57)ml.Significant difference(P<0.05) was found.in time ofincision drying and healing,postoperative drainage volume of24hours of group A andgroup B. Conclusion Through clinical observation and follow-up data related to statisticalanalysis,Autogenous iliac bone graft can shorten the incision healing time and reducethe incidence of postoperative wound complications of calcaneal fractures thanallogenic bone graft.