A comparison of different suturing methods to prevent or reduce complications of calcaneal fracture incision / 实用医学杂志

ABSTRACT

Objective To explore variety of suture methods in the prevention or reduction of calcaneal fracture incision complications.Methods The data on 120 patients receiving open reduction and internal fixation of the calcaneus fractures in our hospital from January 2014 to December 2015 were collected.A lateral L-like incisionwas used.Allgower-Donati suture,interrupted vertical mattress suture,intradermal suture,and interrupted suture were applied to manage the incision.The incidence of tension blisters in the incision and its surrounding areas,skin flap necrosis,stitch-cutting edge in the skin,and plate exposure was statistically analyzed.The SPSS 18.0 was used for statistical analysis,and P ＜ 0.05 was statistically significant.Results Postoperative complication rate was 6.7％ for Allgower-Donati suture,13.3％ for interrupted vertical mattress suture,26.7％ for intradermal suture and 33.3％ for interrupted suture (P ＜ 0.05).Conclusions Allgower-Donati suture can prevent or reduce wound complications of calcaneal fractures effectively,and it is worthy of extensive clinical use.