Chronic regional pain syndrome following calcaneal fractures: what causes it and how may Vitamin C aid?

IF 0.5 4区 医学 Q4 ORTHOPEDICS Acta orthopaedica Belgica Pub Date : 2024-06-01 DOI:10.52628/90.2.11928
M Kazez, M Yalin, A Agar
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Abstract

The purpose of the current study is to determine which variables influence the onset of chronic regional pain syndrome (CRPS) following Sanders type 1 calcaneal fractures, which are treated conservatively, and to discover how Vitamin C (VC) supplementation, which is often mentioned in the literature, affects the outcomes of these fractures. The study incorporated individuals who had a Sanders type 1 fracture that was both closed and non-displaced and were treated with conventional plaster. The current study retrospectively reviewed medical records to gather demographic data, duration of immobilization, smoking habits, administration of VC supplementation, and presence of diabetes mellitus (DM). The Budapest criteria were employed to make the clinical diagnosis of CRPS. The study cohort comprised 258 (75.9%) males and 82 (24.1%) females aged between 18 and 90 years who had sustained Sanders type 1 calcaneal fractures and were managed non-operatively. CRPS was detected in 42 (12.4%) of the 340 subjects. CRPS patients had a statistically higher immobilization duration than those without CRPS (p<0.05). Smoking and DM were more common among patients with CRPS (p<0.05) and CRPS patients had a much lower rate of VC consumption (4.8%) (p<0.05). The current study is the first to examine risk variables for CRPS after calcaneal fractures. Long periods of immobility, female gender, and lack of VC supplementation increase the risk of CRPS. CRPS also increases with diabetes and smoking.

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小腿骨骨折后的慢性区域疼痛综合征:原因何在,维生素 C 有何功效?
本研究旨在确定哪些变量会影响保守治疗的桑德斯1型小腿骨骨折后慢性区域疼痛综合征(CRPS)的发病,并探索文献中经常提到的维生素C(VC)补充剂如何影响这些骨折的治疗效果。这项研究将桑德斯1型骨折患者纳入研究范围,这些骨折均为闭合性和非移位性骨折,并接受了传统的石膏治疗。本研究通过回顾性审查病历来收集人口统计学数据、固定时间、吸烟习惯、VC 补充剂的使用情况以及是否患有糖尿病(DM)。研究采用布达佩斯标准对 CRPS 进行临床诊断。研究对象包括258名(75.9%)男性和82名(24.1%)女性,年龄在18至90岁之间,均为桑德斯1型小关节骨折患者,均接受了非手术治疗。在 340 名受试者中,有 42 人(12.4%)被检测出患有 CRPS。据统计,CRPS 患者的固定时间比无 CRPS 患者长(p
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来源期刊
Acta orthopaedica Belgica
Acta orthopaedica Belgica 医学-整形外科
CiteScore
0.70
自引率
0.00%
发文量
58
审稿时长
4-8 weeks
期刊介绍: Information not localized
期刊最新文献
3D quantitative CT study to assess rotator cuff muscle fatty infiltration. Alkaptonuric Ochronosis: A case-based review. Chronic regional pain syndrome following calcaneal fractures: what causes it and how may Vitamin C aid? Clinical Significance of Arthroscopic Debridement, Trapeziectomy, and Joint Replacement for Basilar Thumb Joint Arthritis: A Meta-analysis of Pain Score Improvements. Cost analysis of total knee arthroplasty surgeries in Turkey.
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