Does the Closure Technique Affect the Wound Healing in Ankle Fractures in Diabetic Patients -A Prospective Study
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH IN MEDICAL SCIENCES - Year 2018, Vol 4, Issue 1
Abstract
Aim: A prospective study was carried out to see the effect of closure techniques on wound healing in ankle fractures in diabetic patients Material &Methods: This study was conducted in the Post graduate department of orthopedics, Govt. Medical College, Jammu from January 2015 to November 2016.A total of 40 patients were included in this study and were assigned to group 1 [Allgower Donati closure] or group 2 [2 layer closure] at random. In both groups, fractures were fixed with ORIF (Open reduction and internal fixation). In group 1 the closure was done using the Modified Allgower donati suture technique while in group 2 the closure was done in two layers with a subcutaneous closure. The wounds were examined on the 2nd post operative day and subsequently on every alternate day. The sutures were removed on the 12th post operative day. Results: The evidence of wound complication that was taken into consideration were wound dehiscence, wound blistering, active discharge, swelling warranting a single or multiple suture removals to reduce tension and wound nonhealing or delayed healing. A 10.52 percent rate of wound complication was observed in group 1[Allgower Donati closure] as compared to about 44.44 percent in group 2[2 layer closure]. A P value of 0.0293 was found to be statistically significant. Taking all other variables into consideration we Conclusion: It is concluded that in the diabetic patients, operative wounds of the ankle fractures treated with open reduction and internal fixation closed with the Allgower Donati suture technique yield significantly and statistically better results than the two-layered closure with subcutaneous and skin closure.
Authors and Affiliations
*Anil Gupta, **Suhail Malhotra, ***Sanjeev Gupta
Keywords
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- EP ID EP550448
- DOI 10.22192/ijcrms.2018.04.01.019
- Views 140
- Downloads 0
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