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Analysis of risk factors associated with incision complications in modified "L" approach for calcaneal fracture.
Bo, Yu; Gao, Pengcheng; Zang, Yuan; Yang, Haibo.
Afiliación
  • Bo Y; Department of Trauma and Orthopedics, General Hospital of Ningxia Medical University Yinchuan 750004, Ningxia Hui Autonomous Region, China.
  • Gao P; Department of Trauma and Orthopedics, General Hospital of Ningxia Medical University Yinchuan 750004, Ningxia Hui Autonomous Region, China.
  • Zang Y; Skills Training Center, General Hospital of Ningxia Medical University Yinchuan 750004, Ningxia Hui Autonomous Region, China.
  • Yang H; Department of Trauma and Orthopedics, General Hospital of Ningxia Medical University Yinchuan 750004, Ningxia Hui Autonomous Region, China.
Am J Transl Res ; 16(5): 1669-1677, 2024.
Article en En | MEDLINE | ID: mdl-38883363
ABSTRACT

OBJECTIVE:

This study aimed to identify risk factors associated with incision complications following the modified "L" approach for calcaneal fractures.

METHODS:

Data from 100 patients treated with the modified "L" approach for calcaneal fractures between January 2018 and December 2021 were analyzed. These included 52 cases in the poorly healing group and 48 in the well-healing group. Variables such as patient age, sex, body mass index, fracture type (Sanders classification), smoking history, alcohol consumption, diabetes status, timing of surgery, tourniquet use, bone grafting, suture method, and postoperative incision care were evaluated. A nomogram was developed using R software to predict the risk of incision complications, validated through the area under the ROC curve, C-index, and decision curve analysis.

RESULTS:

Both univariate and multivariate regression analyses identified fracture type, smoking history, diabetes, timing of surgery, and duration of tourniquet application as significant predictors of incision complications. These factors were incorporated into a clinical predictive nomogram. The nomogram's calibration curves demonstrated high accuracy, both internally and externally. The unadjusted concordance indes (C-index) was 0.793 [95% confidence interval (CI), 0.825-0.995], and the area under the curve for the nomogram was 0.7875882. Decision curve analysis confirmed the clinical applicability of the model at a threshold probability of 20-60%.

CONCLUSION:

We have developed a reliable clinical nomogram to predict the risk factors for incision complications in the modified "L" approach for calcaneal fractures, enhancing decision-making in clinical settings.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Am J Transl Res Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Am J Transl Res Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos