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Predictors of compartment syndrome of the foot after fracture of the calcaneus.

Abstract Aims Identifying predictors of compartment syndrome in the foot after a fracture of the calcaneus may lead to earlier diagnosis and treatment. The aim of our study was to identify any such predictors. Patients and Methods We retrospectively reviewed 303 patients (313 fractures) with a fracture of the calcaneus who presented to us between October 2008 and September 2016. The presence of compartment syndrome and potential predictors were identified by reviewing their medical records. Potential predictors included age, gender, concomitant foot injury, mechanism of injury, fracture classification, time from injury to admission, underlying illness, use of anticoagulant/antiplatelet agents, smoking status and occupation. Associations with predictors were analyzed using logistic regression analysis. Results Of the 313 fractures of the calcaneus, 12 (3.8%) developed a compartment syndrome. A Sanders type IV fracture was the only strongly associated factor (odds ratio 21.67, p = 0.007). Other variables did not reach statistical significance. Conclusion A Sanders type IV fracture is the best predictor of compartment syndrome after a fracture of the calcaneus. Cite this article: Bone Joint J 2018;100-B:303-8.
PMID
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Authors

Mayor MeshTerms
Keywords

Calcaneal fracture

Compartment syndrome

Predictors

Sanders classification

Journal Title the bone & joint journal
Publication Year Start




PMID- 29589492
OWN - NLM
STAT- MEDLINE
DCOM- 20180402
LR  - 20180402
IS  - 2049-4408 (Electronic)
IS  - 2049-4394 (Linking)
VI  - 100-B
IP  - 3
DP  - 2018 Mar 1
TI  - Predictors of compartment syndrome of the foot after fracture of the calcaneus.
PG  - 303-308
LID - 10.1302/0301-620X.100B3.BJJ-2017-0715.R2 [doi]
AB  - Aims Identifying predictors of compartment syndrome in the foot after a fracture 
      of the calcaneus may lead to earlier diagnosis and treatment. The aim of our
      study was to identify any such predictors. Patients and Methods We
      retrospectively reviewed 303 patients (313 fractures) with a fracture of the
      calcaneus who presented to us between October 2008 and September 2016. The
      presence of compartment syndrome and potential predictors were identified by
      reviewing their medical records. Potential predictors included age, gender,
      concomitant foot injury, mechanism of injury, fracture classification, time from 
      injury to admission, underlying illness, use of anticoagulant/antiplatelet
      agents, smoking status and occupation. Associations with predictors were analyzed
      using logistic regression analysis. Results Of the 313 fractures of the
      calcaneus, 12 (3.8%) developed a compartment syndrome. A Sanders type IV fracture
      was the only strongly associated factor (odds ratio 21.67, p = 0.007). Other
      variables did not reach statistical significance. Conclusion A Sanders type IV
      fracture is the best predictor of compartment syndrome after a fracture of the
      calcaneus. Cite this article: Bone Joint J 2018;100-B:303-8.
FAU - Park, Y H
AU  - Park YH
AD  - Korea University Guro Hospital, 148 Gurodong-ro, Guro-gu, Seoul 08308, South
      Korea.
FAU - Lee, J W
AU  - Lee JW
AD  - Korea University Guro Hospital, 148 Gurodong-ro, Guro-gu, Seoul 08308, South
      Korea.
FAU - Hong, J Y
AU  - Hong JY
AD  - Korea University Ansan Hospital, 123 Jeokgeum-ro, Danwon-gu, Ansan 15355, South
      Korea.
FAU - Choi, G W
AU  - Choi GW
AD  - Korea University Ansan Hospital, 123 Jeokgeum-ro, Danwon-gu, Ansan 15355, South
      Korea.
FAU - Kim, H J
AU  - Kim HJ
AD  - Korea University Guro Hospital, 148 Gurodong-ro, Guro-gu, Seoul 08308, South
      Korea.
LA  - eng
PT  - Journal Article
PL  - England
TA  - Bone Joint J
JT  - The bone & joint journal
JID - 101599229
SB  - AIM
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Calcaneus/*injuries
MH  - Compartment Syndromes/*etiology
MH  - Female
MH  - Foot Injuries/*complications/surgery
MH  - Fracture Fixation/methods
MH  - Fractures, Bone/*complications/surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Risk Factors
OTO - NOTNLM
OT  - Calcaneal fracture
OT  - Compartment syndrome
OT  - Predictors
OT  - Sanders classification
EDAT- 2018/03/29 06:00
MHDA- 2018/04/03 06:00
CRDT- 2018/03/29 06:00
PHST- 2018/03/29 06:00 [entrez]
PHST- 2018/03/29 06:00 [pubmed]
PHST- 2018/04/03 06:00 [medline]
AID - 10.1302/0301-620X.100B3.BJJ-2017-0715.R2 [doi]
PST - ppublish
SO  - Bone Joint J. 2018 Mar 1;100-B(3):303-308. doi:
      10.1302/0301-620X.100B3.BJJ-2017-0715.R2.