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- W4225512288 abstract "The primary aim of the study was to compare the results of final soft tissue culture results in patients who had heel ulcerations that underwent either a vertical contour calcanectomy or a below the knee amputation. There were 100 patients with heel ulcerations that met the inclusion criteria. Preoperative risk factors and postoperative outcomes were compared. Bivariate analysis and segmental multivariate logistic regression was performed between the groups. Of patients who had heel ulcerations, 55% of them had positive soft tissue cultures at time of closure. Of these 55 patients, 85.45% were patients who underwent a VCC. Our analysis suggests that for a one day increase in the number of days with ulcer prior to surgery, the odds of the positive soft tissue culture at time of closure is 1.002 times higher [OR 1.002 (95% CI 1.000 -1.004)]. It was also found that the odds of 30 day readmission are 2.67 times higher for patients without positive soft tissue cultures compared to patients with positive soft tissue cultures [OR 2.67 (95% CI 1.071-6.660)]. Our data suggests that those that underwent a VCC had higher rates of positive soft tissue cultures at time of closure than those who underwent a BKA. Our findings also suggest that the amount of time a wound has been open prior to intervention correlates with the soft tissue cultures at time of closure. Interestingly our data suggests positive soft tissue cultures at times of closure were more likely to not have a 30 day readmission." @default.
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- W4225512288 date "2022-01-01" @default.
- W4225512288 modified "2023-09-27" @default.
- W4225512288 title "Risk Factors and Surgical Outcomes in Patients with Positive Soft Tissue Cultures at Time of Closure" @default.
- W4225512288 doi "https://doi.org/10.1016/j.fastrc.2022.100197" @default.
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