跟骨骨折术后切口并发症发生的危险因素及防治策略△

Factors and prevention strategies of incision complications secondary to surgical treatment of calcaneal fractures

摘要:

跟骨骨折术后切口并发症一直是创伤骨科和足踝领域研究的热点，其并发症主要包括切口皮缘坏死、感染、裂开、 血肿形成、钢板外露等。这些并发症对患者的术后康复造成了极大的威胁。资历较浅的医生和在基层医院工作的医生对跟骨骨折术后切口并发症的发生及防治大多处于“碎片化”知晓状态，考虑欠全面。本文就跟骨骨折术后切口并发症发生的危险因素及防治策略作一文献回顾，旨在对其全面概述。

Abstract:

Incision complications secondary to surgical treatment for calcaneal fractures have been a hot research topic in the field of traumatic orthopedics for foot and ankle. The complications mainly include incision skin necrosis, infection, dehiscence, hematoma forma- tion, plate exposure and so on, which pose a great threat to the postoperative rehabilitation of patients. However, the knowledge regarding to the postoperative incisional complications and its management mostly remain in the "fragmented" state without comprehensive understand- ing in junior clinicians and medical worker in the primary hospitals. This article gives a literature review of risk factors and prevention strat- egies for postoperative incisional complications of calcaneal fracture with the aim to provide a comprehensive overview.