CT mapping for complex tibial pilon fractures: Understanding the injury pattern and its relation to the approach choice

Injury ◽  
2021 ◽  
Author(s):  
Pedro José Labronici ◽  
Adriano Fernando Mendes Junior ◽  
Alisson Augusto Muraro da Silva ◽  
Paulo Marcelo Guerra da Silva ◽  
Marcos Donato Franco de Araújo Serra ◽  
...  
Keyword(s):  
Injury Pattern ◽  
Tibial Pilon ◽  
Pilon Fractures

scholarly journals Corrigendum to ’CT mapping for complex tibial pilon fractures: understanding the injury pattern and its relation to the approach choice’ [Injury 53S3 (2021) S70–S76]

Injury ◽  
2021 ◽  
Author(s):  
Pedro José Labronici ◽  
Adriano Fernando Mendes Junior ◽  
Alisson Augusto Muraro da Silva ◽  
Paulo Marcelo Guerra da Silva ◽  
Marcos Donato Franco de Araújo Serra ◽  
...  
Keyword(s):  
Injury Pattern ◽  
Tibial Pilon ◽  
Pilon Fractures

Tibial pilon fractures treated with a periarticular external fixator: retrospective study of 47 cases

2021 ◽  
pp. 103148
Author(s):  
Yohan Legallois ◽  
Fabien Baudelle ◽  
Pierre Lavignac ◽  
Matthieu Garcia ◽  
Pierre Meynard ◽  
...  
Keyword(s):  
Retrospective Study ◽  
External Fixator ◽  
Tibial Pilon ◽  
Pilon Fractures

scholarly journals Should Complex Comminuted C3-Type Tibial Pilon Fractures Be Fused or Fixated? A Systematic Review

2021 ◽  
Author(s):  
Yash Paul Chaudhry ◽  
Efstratios Papadelis ◽  
Hunter Hayes ◽  
Philip F. Stahel ◽  
Erik A. Hasenboehler
Keyword(s):  
Fracture Fixation ◽  
Complication Rate ◽  
Wound Complication ◽  
Ankle Arthrodesis ◽  
Pilon Fracture ◽  
Eligibility Criteria ◽  
Tibial Pilon ◽  
Mesh Terms ◽  
The Mean ◽  
Pilon Fractures

Abstract Background: Comminuted intra-articular tibial pilon fractures can be challenging to manage, with high revision rates and poor functional outcomes. This study reviewed (1) treatment, complications, and clinical outcomes in studies of complex comminuted tibial pilon fractures (type AO43-C3); and (2) primary ankle arthrodesis as a management option for these types of complex injuries.Methods: A systematic literature search was performed on PubMed from 1990-2020 to determine complications and outcomes after staged fracture fixation and primary ankle joint arthrodesis for comminuted C3-type tibial pilon fractures.The search was conducted in compliance with the PRISMA guidelines, using the following MeSH terms: “tibial pilon”/“pilon fracture”/“plafond fracture”/“distal tibial”/“43-C3”/“ankle fracture”/“ankle fusion”/“primary ankle arthrodesis”/“pilon fracture staged”/“pilon external fixation” and “pilon open reduction internal fixation.” Inclusion criteria were restricted to original articles in English language on adult patients ≥18 years of age. Eligibility criteria for retrieved publications were determined using a “PICO” approach (population, intervention/exposure, comparison, outcomes). Weighted analysis was used to compare treatment groups on time to definitive treatment, follow-up time, range of motion, fracture classification, and complications.Results: The systematic literature review using the defined MeSH terms yielded 72 original articles. Of these, 13 articles met the eligibility criteria based on the PICO statements, of which 8 publications investigated the outcomes of a staged fixation approach in 308 cumulative patients, and 5 articles focused on primary ankle arthrodesis in 69 cumulative patients. For staged treatment, the mean wound complication rate was 14.6%, and the malunion/nonunion rate was 9.9%. For primary arthrodesis, the mean wound complication rate was 2.9%, and the malunion/nonunion rate was 2.9%. After risk stratification for fracture type and severity, the small cumulative cohort of patients included in the primary arthrodesis publications did not provide sufficient power to determine a clinically relevant difference in complications and long-term patient outcomes compared to the staged surgical fixation group.Conclusions: At present, there is insufficient evidence in the published literature to provide guidance towards consideration of ankle arthrodesis for complex comminuted C3-type tibial pilon fractures, compared to the standard treatment by staged surgical fracture fixation.

Neglected Tibial Pilon Fractures

2018 ◽  
Vol 32 (7) ◽  
pp. 369-375 ◽  
Author(s):  
Abdel-Salam A. Ahmed ◽  
Mohammed S. Singer ◽  
Hossam A. El Bigawi
Keyword(s):  
Tibial Pilon ◽  
Pilon Fractures

scholarly journals Two-stage open reduction and internal fixation versus limited internal fixation combined with external fixation: a meta-analysis of postoperative complications in patients with severe Pilon fractures

2018 ◽  
Vol 46 (7) ◽  
pp. 2525-2536 ◽  
Author(s):  
Xueliang Cui ◽  
Hui Chen ◽  
Yunfeng Rui ◽  
Yang Niu ◽  
He Li
Keyword(s):  
Postoperative Complications ◽  
Internal Fixation ◽  
Bone Healing ◽  
Open Reduction ◽  
Lower Risk ◽  
Meta Analysis ◽  
Two Stage ◽  
Superficial Infection ◽  
Tibial Pilon ◽  
Pilon Fractures

Objectives Two-stage open reduction and internal fixation (ORIF) and limited internal fixation combined with external fixation (LIFEF) are two widely used methods to treat Pilon injury. However, which method is superior to the other remains controversial. This meta-analysis was performed to quantitatively compare two-stage ORIF and LIFEF and clarify which method is better with respect to postoperative complications in the treatment of tibial Pilon fractures. Methods We conducted a meta-analysis to quantitatively compare the postoperative complications between two-stage ORIF and LIFEF. Eight studies involving 360 fractures in 359 patients were included in the meta-analysis. Results The two-stage ORIF group had a significantly lower risk of superficial infection, nonunion, and bone healing problems than the LIFEF group. However, no significant differences in deep infection, delayed union, malunion, arthritis symptoms, or chronic osteomyelitis were found between the two groups. Conclusion Two-stage ORIF was associated with a lower risk of postoperative complications with respect to superficial infection, nonunion, and bone healing problems than LIFEF for tibial Pilon fractures. Level of evidence 2.

Treatment of Tibial Pilon Fractures: Ilizarov Method vs Conventional Methods

1995 ◽  
Vol 30 (3) ◽  
pp. 717
Author(s):  
Dae Yong Han ◽  
Soo Bong Hahn ◽  
Hui Wan Park ◽  
Soo Chang Kang
Keyword(s):  
Ilizarov Method ◽  
Tibial Pilon ◽  
Conventional Methods ◽  
Pilon Fractures

Does Surgical Approach Influence the Risk of Postoperative Infection After Surgical Treatment of Tibial Pilon Fractures?

2020 ◽  
Vol 34 (3) ◽  
pp. 126-130 ◽  
Author(s):  
John G. Esposito ◽  
Quirine M. J. van der Vliet ◽  
Marilyn Heng ◽  
Jeffrey Potter ◽  
Patrick K. Cronin ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Surgical Approach ◽  
Postoperative Infection ◽  
Tibial Pilon ◽  
Pilon Fractures
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