Impact of surgical procedures on soft tissue microcirculation in calcaneal fractures: A prospective longitudinal cohort study.
Adult
Calcaneus
/ diagnostic imaging
Female
Foot
/ blood supply
Fracture Fixation, Internal
/ adverse effects
Fractures, Bone
/ diagnosis
Humans
Male
Microcirculation
Open Fracture Reduction
/ adverse effects
Outcome Assessment, Health Care
Oxygen Consumption
Perioperative Care
/ methods
Regional Blood Flow
Spectrophotometry
/ methods
Wound Healing
/ physiology
Calcaneal fracture
Doppler/white light spectroscopy
Extended lateral approach
Microcirculation
Minimalinvasive treatment
O2C®
Journal
Injury
ISSN: 1879-0267
Titre abrégé: Injury
Pays: Netherlands
ID NLM: 0226040
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
06
05
2019
revised:
10
09
2019
accepted:
02
10
2019
pubmed:
22
10
2019
medline:
27
11
2020
entrez:
22
10
2019
Statut:
ppublish
Résumé
Wound healing complications are a major concern after open reduction and internal fixation (ORIF) in patients with calcaneal fractures. Microcirculation is known to play a key role in bone and soft tissue healing. The present study aimed to characterize and contrast the dynamics of changes in microcirculation comparing two different surgical procedures: A) ORIF and B) a minimally invasive approach (MIA). Blood flow (BF[AU]), oxygen saturation (sO Nineteen patients (44 years, range 21.9-71.0 years) were enrolled in the study. Surgical treatment consisted of ORIF (n = =15) and MIA (n = =9). The postoperative BF and sO The spectrophotometry results were in line with the generally accepted phases of soft tissue wound healing. Postsurgical changes in microcirculation are predominantly independent of surgical techniques and may be primarily determined by wound and fracture healing. Future studies should focus on the potential of spectrophotometry to monitor wound healing after surgery. Moreover, studies with longer observation periods are needed in order to examine the changes in microcirculation during all wound-healing phases.
Identifiants
pubmed: 31630780
pii: S0020-1383(19)30585-6
doi: 10.1016/j.injury.2019.10.004
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2332-2338Informations de copyright
Copyright © 2019. Published by Elsevier Ltd.