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Review Question - QID 462

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QID 462 (Type "462" in App Search)
A 28 year-old-male presents with the injury pattern seen in Figure A. Which of the following is a risk factor for wound complications following operative treatment?
  • A

Open injury

87%

1044/1205

Workers' Compensation involvement

9%

106/1205

Adjunct use of allograft

1%

9/1205

Contralateral calcaneus fracture

1%

14/1205

Male sex

2%

28/1205

  • A

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According to the referenced study by Folk et al, the risk of early wound complications is highest in open injuries, diabetics, and smokers.

No significant differences were seen in complication rates in terms of: age, sex, other pre-existing medical conditions, social history, mechanism of injury, time from injury to surgical stabilization, the type of incision used, use of preoperative antibiotics, or type of wound closure.

Notably, 25% of the patients had some sort of early wound complication, and 21% of the patients required surgical treatment due to their wound complication.

Their conclusion: "Smoking, diabetes, and open fractures all increase the risk of wound complication after surgical stabilization of calcaneus fractures. Cumulative risk factors increase the likelihood of wound complications."

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