Skin and Wound Complications after Calcaneal Fracture Fixation by Ahmed Khedr* in Orthoplastic Surgery & Orthopedic Care International Journal_ Orthopedic Care International Journal
Abstract
Soft
tissue complications are one of the most feared complications after a fracture
of the calcaneus and its operative treatment. The incidence of wound
complications vary in literature is up to 32%. The better understanding of the blood supply of the lateral
aspect to the hind foot and together with the development of minimally invasive
and percutaneous techniques helped to reduce such complications. While the
literature discussed several patient related factors and surgery related
factors that can contribute to skin and soft tissue complications, drawing a
definitive conclusion about the importance of each of these factors is still
difficult. Prevention of wound complications requires some experience from the surgeon to assess the different
risk factors. In many cases, wound dehiscence can be managed by dressings but
when infection is suspected, serial debridement with culture specific
antibiotics are needed
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