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01-11-2021 | Letter to the Editor

Letter to the Editor concerning “Reduced pre-operative skin oxygen saturation predicts revision after open reduction and internal fixation in calcaneal fractures”

Authors: Dong-Yang Li, Yu-Long Huo, Dong-Xing Lu, Hong-Li Deng, Yu-Xuan Cong

Published in: International Orthopaedics | Issue 11/2021

Excerpt

Knobe et al. [1] wrote an exciting paper about skin oxygen saturation predicting revision after operation in calcaneal fractures. In this diagnostic test, the author used white light spectrophotometry on the patients receiving open reduction and internal fixation for calcaneal fractures. They chose five locations to measure along the planned incision of an extended lateral approach to the calcaneus. At last, the authors find patients with at least one measurement below 20.5% were at risk for wound revision surgery (sensitivity 100%, specificity 48.5%). It is an essential step that uses spectrophotometry to predict incision healing [1, 2]. However, some critical issues need to be clarified in the methods. …

Knobe M, Iselin LD, van de Wall BJM, Lichte P, Hildebrand F, Beeres FJP, Link BC, Gueorguiev B, Nebelung S, Ganse B, Migliorini F, Klos K, Babst R, Haefeli PC (2021) Reduced pre-operative skin oxygen saturation predicts revision after open reduction and internal fixation in calcaneal fractures : a reduced pre-operative oxygen saturation as measured by laser-Doppler spectrophotometry in 8 mm depth is associated with revision surgery after open reduction and internal fixation of calcaneal fractures through an extended lateral approach. Int Orthop. https://doi.org/10.1007/s00264-021-05157-4CrossRefPubMed

Blasius FM, Link BC, Beeres FJP, Iselin LD, Leu BM, Gueorguiev B, Klos K, Ganse B, Nebelung S, Modabber A, Eschbach D, Weber CD, Horst K, Knobe M (2019) Impact of surgical procedures on soft tissue microcirculation in calcaneal fractures: a prospective longitudinal cohort study. Injury 50(12):2332–2338. https://doi.org/10.1016/j.injury.2019.10.004CrossRefPubMed

Koski A, Kuokkanen H, Tukiainen E (2005) Postoperative wound complications after internal fixation of closed calcaneal fractures: a retrospective analysis of 126 consecutive patients with 148 fractures. Scand J Surg 94(3):243–245. https://doi.org/10.1177/145749690509400313CrossRefPubMed

Al-Mudhaffar M, Prasad CV, Mofidi A (2000) Wound complications following operative fixation of calcaneal fractures. Injury 31(6):461–464. https://doi.org/10.1016/s0020-1383(00)00026-7CrossRefPubMed

Title: Letter to the Editor concerning “Reduced pre-operative skin oxygen saturation predicts revision after open reduction and internal fixation in calcaneal fractures”
Authors: Dong-Yang Li
Yu-Long Huo
Dong-Xing Lu
Hong-Li Deng
Yu-Xuan Cong
Publication date: 01-11-2021
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 11/2021
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-021-05231-x

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Letter to the Editor concerning “Reduced pre-operative skin oxygen saturation predicts revision after open reduction and internal fixation in calcaneal fractures”

Excerpt

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