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Model of Blasius et al for Predicting Impaired Wound Healing (IWH) Following Repair of an Isolated Calcaneal Fracture

Description

Blasius et al reported a model for predicting impaired wound healing following surgery to repair an isolate calcaneal fracture. This can help to identify a patient who may benefit from more aggressive management. The authors are from University Hospital RWTH Aachen and Lucerne Cantonal Hospital.


Patient selection: isolated calcaneal fracture

 

Criteria for impaired wound healing - both of the following:

(1) non-timely wound healing 14 days postoperatively

(2) one or more of the following:

(2a) purulent drainage

(2b) signs and symptoms of an infection

(2c) laboratory confirmation of SIRS in the absence of another case

(2d) wound dehiscence

 

Parameters:

(1) open fracture

(2) alcohol abuse

(3) minimally invasive surgery

(4) body mass index in kg per square meter

 

Parameter

Finding

Odds Ratio

open fracture

no

1

 

yes

14.64

alcohol abuse

no

1

 

yes

0.23

minimally invasive surgery

no

1

 

yes

0.33

BMI

<= 24 kg per sq m

1

 

> 24 kg per sq m

3.65

 

The risk of impaired wound healing changes with the risk factors present.

 


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