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

Y. H. Park, J. W. Lee, Jae-Young Hong, G. W. Choi, Hak Jun Kim

Research output: Contribution to journalArticle

2 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)303-308
Number of pages6
JournalBone and Joint Journal
Volume100B
Issue number3
DOIs
Publication statusPublished - 2018 Mar 1

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Compartment Syndromes
Calcaneus
Foot
Foot Injuries
Platelet Aggregation Inhibitors
Wounds and Injuries
Occupations
Anticoagulants
Medical Records
Early Diagnosis
Logistic Models
Smoking
Odds Ratio
Regression Analysis
Therapeutics

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Predictors of compartment syndrome of the foot after fracture of the calcaneus. / Park, Y. H.; Lee, J. W.; Hong, Jae-Young; Choi, G. W.; Kim, Hak Jun.

In: Bone and Joint Journal, Vol. 100B, No. 3, 01.03.2018, p. 303-308.

Research output: Contribution to journalArticle

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AU - Hong, Jae-Young

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AU - Kim, Hak Jun

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N2 - 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.

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.

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