Prognostic value of objective examination of patients with intra-articular fractures of the calcaneus

Introduction The scope of examination of patients with closed intraarticular fractures of the calcaneus against the background of concomitant pathology has been discussed up to date. The aim of the study was to improve the accuracy of predicting the nature of postoperative wound healing after osteosynthesis of intra-articular fractures of the calcaneus from the extended lateral approach on the background of chronic obliterating diseases of the lower limb arteries of different etiology, smoking and a combination of these factors. Material and methods Sixty-nine patients who were smokers and/or suffered from chronic obliterating diseases with a total of 74 closed intra-articular fractures of the heel bones were analyzed. All patients received a comprehensive clinical and instrumental examination consisting of radiography and computed tomography of the calcaneus to determine the proximal-distal gradient (PDG), ankle-brachial index (ABI) and transcutaneous oximetry (TrOc)...