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[Orthopedics and traumatology]
Vitaly Vladimirovich Savichev; Igor Ivanovich Litvinov; Vyacheslav Vasilyevich Klyuchevsky; Maria Nikolaevna Bobyleva;
Optimization of management tactics for patients with heel bone injury attracts attention due to the high risk of purulentnecrotic and other complications during surgical treatment of these injuries. The study analyzes the parameters that, to varying degrees, affect operational risks, as well as options for their combination with the development of a mathematical predictive model. Application of the developed treatment protocol allows obtaining good treatment results and reducing the number of complications to 4.8 %.
References:
1. Korolev M. A., Iarmak D. O., Miroshnikova E. A., Skoroglydov A. V., Korobushkin G. V. Errors of diagnosis and features of treatment of fractures of the foot in combined and multiple trauma. Vestnik RGMU. – Bulletin of Russian State Medical University. 2016;3:48-55. (In Russ.). https://doi.org/10.24075/brsmu.2016-03-07
2. Bruce J., Sutherland A. Surgical versus conservative interventions for displaced intra-articular calcaneal fractures. Cochrane Database Syst. Rev. 2013;31(1):628. https://doi.org/10.1002/14651858.CD008628.pub2
3. Wu K., Wang, Q. H., Li Wang. Regression analysis of controllable factors of surgical incision complications in closed calcaneal fractures. J. Res. Med. Sci. 2014;19(6):495501. https://doi.org/10.1097/MD.0000000000011818
4. Chen D. W., Li B., Yang Y. Clinical outcomes of surgical treatment for talar malunions and nonunions. Acta. Ortop. Bras. 2013;21(4):226. https://doi.org/10.1590/S1413-78522013000400009
5. Klyuchevsky V. V., Savgachev V. V., Litvinov I. I., Pleshev I. E. Method of predicting complications of open reduction and plate fixation of fractures of the calcaneus. Vrach-aspirant. Nauchno-praktichesky zhurnal. – Doctor-graduate student. Scientific and practical journal. 2017;6.2(85):213-220. (In Russ.). https://elibrary.ru/item.asp?id=30147631
6. Savgachev V. V. Development of a universal classification of predicting complications in trauma of the calcaneus. Sovremennaya nauka: Aktualnye problemy teorii i praktiki. Ceriya Yestestvennye i Tekhnicheskiye Nauki. – Modern science: Actual problems of theory and practice. Series of Natural and Technical Sciences. 2016;9-10:72-76. (In Russ.).
Keywords: calcaneus fracture, risk factors, complications, forecasts