Concomitant Total Ankle Replacement and Open Reduction and Internal Fixation for a Comminuted Distal Tibial Pilon Fracture

2016 ◽  
Vol 6 (1) ◽  
pp. e1 ◽  
Author(s):  
B.A.S. Chaudhry ◽  
M.S. Siddique
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Total Ankle Replacement ◽  
Pilon Fracture ◽  
Tibial Pilon ◽  
Tibial Pilon Fracture ◽  
Ankle Replacement

Should the location of distal tibial plating be influenced by the varus or valgus fracture pattern of tibial pilon fracture?

2021 ◽  
Author(s):  
Choon Chiet Hong ◽  
Soura Saha ◽  
Si Heng Sharon Tan ◽  
Ken Jin Tan ◽  
Diarmuid Paul Murphy ◽  
...  
Keyword(s):  
Fracture Pattern ◽  
Pilon Fracture ◽  
Tibial Pilon ◽  
Tibial Pilon Fracture

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.

Irreducible Tibial Pilon Fracture Caused by Incarceration of the Fibula in the Tibial Medullary Canal

2012 ◽  
Vol 51 (3) ◽  
pp. 362-364 ◽  
Author(s):  
Prasad Ellanti ◽  
Yassir Hammad ◽  
Damir Kosutic ◽  
Philip P. Grieve
Keyword(s):  
Medullary Canal ◽  
Pilon Fracture ◽  
Tibial Pilon ◽  
Tibial Pilon Fracture

Quality of life and prognostic factors after intra-articular tibial pilon fracture

Injury ◽  
2017 ◽  
Vol 48 (6) ◽  
pp. 1258-1263 ◽  
Author(s):  
Jorge De-las-Heras-Romero ◽  
Ana M. Lledo-Alvarez ◽  
Alejandro Lizaur-Utrilla ◽  
Fernando A. Lopez-Prats
Keyword(s):  
Quality Of Life ◽  
Prognostic Factors ◽  
Pilon Fracture ◽  
Tibial Pilon ◽  
Tibial Pilon Fracture

scholarly journals PO 18143 - AO type 43C tibial pilon fractures

2019 ◽  
Vol 13 (Supl 1) ◽  
pp. S29
Author(s):  
Kelly Cristina Stéfani ◽  
Vinicius Quadros Borges ◽  
Gabriel Ferraz Ferreira ◽  
Leonardo Vinícius De Matos Moraes
Keyword(s):  
Cartilage Damage ◽  
Treatment Protocol ◽  
Anatomical Reconstruction ◽  
Pilon Fracture ◽  
Tibial Pilon ◽  
Tibial Pilon Fracture ◽  
Osteosynthesis Material ◽  
Soft Tissue Involvement ◽  
Final Treatment ◽  
Pilon Fractures

Objective: The objective of this study was to prospectively evaluate operated cases of AO type 43C tibial pilon fracture and to assess factors that might influence functional outcomes during the late postoperative period.  Methods: Patients were classified according to the OTA/AO Classification using X-ray and computed tomography (CT) scans. Patients with type 43C fractures were included in this study. A total of 98 tibial pilon osteosynthesis surgeries were performed, and 35 cases were selected for this study based on the inclusion criteria. The treatment protocol established was based on the Tscherne Classification.  Results: We observed that immediate skin complications might be a prognostic factor for the late removal of osteosynthesis material (mean = 2 years postoperation) because an association was found between skin complications and the removal of osteosynthesis material. We observed a high incidence of late arthritis complications in both groups, which indicates that post-traumatic arthritis associated with 43C pilon fractures is practically certain.  Conclusion: No differences were found between the groups when correlating the American Foot and Ankle Score (AOFAS), the degree of arthritis, and skin complications; therefore, complications did not determine the outcomes of tibial pilon fracture. Although the cartilage damage that occurs at the time of injury is a significant mediator of the clinical outcome, more important factors affect the final treatment outcome. In our study, these factors were the treatment protocol based on soft tissue involvement, anatomical reconstruction of the joint, and rigid internal fixation with early range of motion.

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