Fracture Blisters: Clinical and Pathological Aspects

Varela, C D; Vaughan, T K; Carr, James B.; Slemmons, B K

doi:10.1097/00005131-199310000-00004

Cited by 78 publications

(52 citation statements)

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“…9 Varela et al showed an association between high-energy injury and the formation of fracture blisters. 10 The duration of surgery was also correlated with AJS in this study. Usually, surgeons try to shorten the surgical time to prevent infection, soft tissue damage, tourniquet syndrome, etc.…”

Section: Discussionsupporting

confidence: 60%

Which Factors Affect Ankle Joint Swelling in Ankle Fracture Patients? - Radiological Measurement Method

Lee¹,

Ha²,

Jung³

et al. 2020

Preprint

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Background: Ankle joint swelling (AJS) in fracture patients is important for predicting soft tissue complications and deciding urgent surgery. Most surgeons still predict the progression of AJS based on their extensive experience. This study was conducted to identify factors that may affect the progression of AJS.Methods: The clinical data and radiographic images of 120 patients who have undergone surgical treatment for ankle fracture were obtained. The immediate radiographs after surgery were representative of the swelling of the ankle joint, and the radiographs 2 weeks after device removal were representative of the normal ankle joint. We defined AJS as the sum of the ankle joint skin contour diameters in the anteroposterior and lateral views. We performed multivariate regression analysis to compare the correlation between variables and AJS.Results: A total of 90 patients were included and followed up for an average of 18.1 months (range, 14–20). Three significant factors (preoperative serum glucose level, injury mechanism, and duration of surgery) were identified to affect AJS.Conclusion: Elevated preoperative serum glucose level, high-energy injury, and extended duration of surgery were more likely to aggravate AJS. These findings will help surgeons to predict the prognosis of patients with AJS and to provide proper management for patients with an ankle fracture.Level of Evidence: Retrospective cohort study, III

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Section: Discussionsupporting

confidence: 60%

Which Factors Affect Ankle Joint Swelling in Ankle Fracture Patients? - Radiological Measurement Method

Lee¹,

Ha²,

Jung³

et al. 2020

Preprint

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“…9 Considerable soft tissue swelling is almost always present during the acute phase. Most surgeons use the wrinkle test in order to determine whether the swelling has subsided enough to permit surgical intervention.…”

Section: Early Complications Swelling and Fracture Blistersmentioning

confidence: 99%

Complications of Intra-articular Calcaneal Fractures in Adults

Koutserimpas

Magarakis

Kastanis

et al. 2016

Foot & Ankle Specialist

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“…Fracture blisters may form over the fracture site due to rapidly progressing edema and soft tissue damage. A fracture blister may be either serous or hemorrhagic (17,18). The former indicates superficial damage, while the latter points full thickness dermal damage.…”

Section: Discussionmentioning

confidence: 99%

Soft tissue reconstruction with reverse flow sural flap in pilon fractures

Sirvan¹,

Sevim²,

Sönmez³

et al. 2017

Sisli Etfal

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Soft tissue reconstruction with reverse flow sural flap in pilon fractures Objective: Pilon fractures are usually caused by high-energy traumas and associated with surrounding soft tissue damage. In addition to the patient's medical state and comorbidities, the poor vascular supply of the distal tibia makes the reconstruction challenging in most of the cases. Material and Methods: Eight patients with pilon fractures (AO types 43A-C) who were treated by the orthopaedics clinic between January 2012 and August 2015 were included in the study. These patients were consulted to our clinic due to full thickness soft tissue defect at the affected site during the operation, and were treated with reverse flow sural flap. Patients were analyzed retrospectively in terms of age, etiology, size of defect and postoperative complications. Results: Between January 2012 and August 2015, 8 patients (4 females, 4 males) aged between 7 and 88 years (mean age:46 years) underwent soft tissue reconstruction with reverse flow sural flap, due to tissue defect occurred after the pilon fracture. In the postoperative period, complications such as wound dehiscence, flap loss and infection were not encountered in any patients except one, who developed partial soft tissue necrosis and healed by secondary intention. Conclusion: Pilon fractures are among the most difficult fractures of the ankle to treat, and have a high complication rate. Sural flap is a reliable way to reconstruct distal tibial defects in single or multiple-stage approaches.

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Fracture Blisters: Clinical and Pathological Aspects

Cited by 78 publications

References 0 publications

Which Factors Affect Ankle Joint Swelling in Ankle Fracture Patients? - Radiological Measurement Method

Which Factors Affect Ankle Joint Swelling in Ankle Fracture Patients? - Radiological Measurement Method

Complications of Intra-articular Calcaneal Fractures in Adults

Soft tissue reconstruction with reverse flow sural flap in pilon fractures

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