Analysis Of Factors Influencing Postoperative Complications Of Pilon Fracture

Objectives Retrospectively analyze the influencing factors of postoperative complications in patients with Pilon fractures,which would help provide the reference for the prevention of postoperative complications.Methods Retrieving the medical records of patients diagnosed with Pilon fracture and meeting with the inclusion criteria of this study from January 2014 to December 2018 in Tangshan Second Hospital,record basic data such as the patient’s age,gender,smoking,hypertension,diabetes,open fracture,fibular fracture,fracture classification,reduction quality and bone graft.Postoperative complications were classified into three types: soft tissue related complications,traumatic arthritis,delayed fracture healing or nonunion,discussed the relationship between the above factors and postoperative complications of Pilon fracture.Used Statistical software to analyze the data.At first single factor analysis was performed and P<0.05 was considered statistically significant.Then,the statistically significant influencing factors in univariate factor analysis and the clinical factors that would affect related complications were used as independent variables,the three types of complications as dependent variables for the binary logistic regression analysis.Results In this study,184 out of 200 patients eligible for inclusion were followed up and included in the analysis,with a follow-up rate of 92.0%.In univariate analysis,the statistically significant influencing factors for the differences in soft tissue related complications included open fractures(P<0.001)and bone grafting(P=0.037);influential factors for traumatic arthritis included the fracture Type(P=0.030)and reduction quality(P=0.015);the statistically significant influencing factor for the difference between delayed fracture healing or nonunion was the reduction quality(P<0.001).binary logistic regression analysis results showed that in Pilon fractures,open fractures(P<0.001)and bone grafting(P=0.018)were significantly associated with soft tissue complications;fracture classification(P=0.042)and reduction quality(P=0.048)were significantly associated with traumatic arthritis;reduction quality(P=0.001)was significantly associated with delayed fracture healing or nonunion.Conclusions 1 Open fracture is a significant risk factor for postoperative soft tissue complications in Pilon fracture patients.2 Fracture classification and reduction quality are significant risk factors that affect traumatic arthritis in Pilon fracture patients.3 The quality of reduction is a significant risk factor for delayed fracture healing or nonunion in Pilon fracture patients.Figure 3;Table 32;Reference 109...