The primary evaluation and management of 47 consecutive @entity1 with 48 open @entity174 was retrospectively analyzed. The @entity174 were treated over a 7-year period. Forty-two @entity174 resulted from @entity130 , and 6 followed penetrating @entity130 . The predominant mechanism of injury was a motor vehicle accident. Initial treatment consisted of emergent irrigation and debridement of the open wound with intravenous antibiotic prophylaxis. Most @entity1 underwent a second debridement. More than two thirds of the wounds were >5 cm in length, @entity130 , associated with a significant @entity531 and/or required a free-tissue transfer. Internal fixation of the os calcis was undertaken in 40% of @entity1 . In addition, >40% of @entity1 sustained concomitant foot and @entity1171 . Two @entity1 underwent below-the-knee amputations as primary treatment. Five @entity1 required a free-tissue transfer. Complications included two @entity281 and one below-the-knee amputation. Two @entity204 occurred due to unrelated causes. Treatment standards for the optimal management of open @entity174 remain controversial. A better understanding of this @entity130 will help determine suitable treatment strategies.

Evaluation and treatment of open XXXX : a retrospective analysis.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'calcaneal fractures'] @entity1171 :: ('MESH:D064386', 'Disease') :: ['ankle fractures'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infections'] @entity531 :: ('MESH:D013901', 'Disease') :: ['neurovascular deficit'] @entity204 :: ('MESH:D003643', 'Disease') :: ['deaths'] @entity130 :: ('MESH:D014947', 'Disease') :: ['blunt trauma', 'complex injury', 'degloving-type injuries', 'trauma']
@entity174 :: (MESH:D050723,Disease) :: ['calcaneal fractures']
