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.

scholarly journals Comparison of complications of early and delayed open reduction and internal fixation for treating pilon fracture: A protocol of systematic review and meta-analysis

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0258962
Author(s):  
Yang Chen ◽  
Xiaoyu Huang ◽  
Yili Chen ◽  
Changlong Shi ◽  
Hao Li ◽  
...  
Keyword(s):  
Systematic Review ◽  
Postoperative Complications ◽  
Internal Fixation ◽  
Open Reduction ◽  
Meta Analysis ◽  
Assessment Tools ◽  
Cochrane Library ◽  
Secondary Outcome ◽  
Statistical Heterogeneity ◽  
Pilon Fractures

Background Tibial Pilon fractures are severe fractures accompanied by soft tissue injury. Although open reduction and internal fixation (ORIF) are effective in treating Pilon fractures, there is a controversy over time to surgery due to reported postoperative complications. However, there is no systematic review evaluating the difference of postoperative complications between early and delayed ORIF for treating pilon fractures. Methods Relevant literature written in English will be searched through PubMed, Cochrane Library, Embase, MEDLINE, and Web of Science. The study aims to compare the effects and complications of early and delayed ORIF for treating fresh pilon fractures in adult patients. The primary outcome will be infection rate, fracture union time, nonunion and malunion rate. And the secondary outcome will be metalwork removal, amputation, and ankle function grade. Two reviewers will independently assess the eligibility of the studies according to the pre-defined inclusion and exclusion criteria. A meta-analysis for the available data will be conducted using Revman 5.3. To measure effect size, odds ratios (ORs) and mean difference will be used for dichotomous and continuous data, respectively. Statistical heterogeneity will be explored. And a random-effects model or a fixed-effects will be used in pooled data on the basis of the existence or absence of heterogeneity. Subgroup analysis will be conducted to identify sources of heterogeneity and sensitivity analysis to test the results’ robustness. We will assess the risk of bias by four different quality assessment tools according to the study design. Publication bias will be evaluated by funnel plot. The study data will be stored in the Open Science Framework website. PROSPERO registration number CRD42020207465

The Results of Early Primary Open Reduction and Internal Fixation for Treatment of OTA 43.C-Type Tibial Pilon Fractures: A Cohort Study

2010 ◽  
Vol 24 (12) ◽  
pp. 757-763 ◽  
Author(s):  
Tim O White ◽  
Pierre Guy ◽  
Cameron J Cooke ◽  
Stephen A Kennedy ◽  
Kurt P Droll ◽  
...  
Keyword(s):  
Cohort Study ◽  
Internal Fixation ◽  
Open Reduction ◽  
Tibial Pilon ◽  
Early Primary ◽  
Pilon Fractures

scholarly journals Open Reduction and Internal Fixation of Distal Tibial Pilon Fractures

2019 ◽  
Vol 9 (3) ◽  
pp. e29 ◽  
Author(s):  
Thomas H. Carter ◽  
Andrew D. Duckworth ◽  
William M. Oliver ◽  
Samuel G. Molyneux ◽  
Anish K. Amin ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Tibial Pilon ◽  
Pilon Fractures

Comparison of Early and Delayed Open Reduction and Internal Fixation for Treating Closed Tibial Pilon Fractures

2014 ◽  
Vol 35 (7) ◽  
pp. 657-664 ◽  
Author(s):  
Xin Tang ◽  
Lei Liu ◽  
Chong-qi Tu ◽  
Jian Li ◽  
Qi Li ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Tibial Pilon ◽  
Pilon Fractures

Open Reduction and Internal Fixation of Tibial Pilon Fractures Using a Lateral Approach

2007 ◽  
Vol 21 (8) ◽  
pp. 530-537 ◽  
Author(s):  
Andrew Grose ◽  
Michael J Gardner ◽  
Carolyn Hettrich ◽  
Felicity Fishman ◽  
Dean G Lorich ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Lateral Approach ◽  
Tibial Pilon ◽  
Pilon Fractures
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