The results of two-staged operative management of pilon fractures¨Ca review of 25 cases

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• 作者：Gursimrat Singh Cheema ; MS (Ortho)^* ; Sumit Arora ; MS (Ortho) DNB (Ortho)^* ; ^{mamc_309@yahoo.co.in} ; Dhananjaya Sabat ; MS (Ortho) DNB (Ortho)^** ; Jatinder Singla ; MS (Ortho)^&dagger ; ; Navneet Goel ; MS (Ortho)^&dagger ; ; Lalit Maini ; MS (Ortho)^*
• 关键词：External fixation ; ligamentotaxis ; minimally invasive percutaneous plate osteosynthesis ; pilon fracture
• 刊名：Journal of Clinical Orthopaedics and Trauma
• 出版年：2011
• 出版时间：December 2011
• 年：2011
• 卷：2
• 期：2
• 页码：104-108
• 全文大小：214 K

文摘

To evaluate the two-staged operative fixation of Arbeitsgemeinschaft f¨¹r Osteosynthesefragen/Orthopedic Trauma Association (AO/OTA) type C pilon fractures.

Retrospective review of prospectively collected data.

Twenty-five consecutive patients with AO/OTA type C pilon fractures.

All the patients underwent immediate application of external fixator spanning the ankle joint and internal fixation of fibular fracture. After a mean duration of 12 days, the external fixator was removed and internal fixation of pilon fracture was performed.

At average follow-up of 18 months, all patients were evaluated by using subjective, objective, and radiographic measurements as described by Burwell and Charnley. Range of motion and postoperative complications were also recorded.

Twenty-three of the 25 fractures healed within an average of 4 months. Average range of motion was 7¡ã of dorsiflexion, 31¡ã of plantar flexion, 11¡ã of eversion, and 13¡ã of inversion. Subjective and objective measurements showed 80 % good results, 12 % fair results, and 8 % poor results. Radiographs showed anatomic reduction in 84 % cases and fair reduction in another 16 % cases. There were no infections or soft tissue complications. The arthrodesis rate was 4 % .

A two-staged approach offers good outcome for the treatment of AO/OTA type C pilon fractures.