Staged Treatment of Pilon Fractures

Overview

Journal J Orthop

Specialty Orthopedics

Date 2016 Jan 1

PMID 26719618

Citations 8

Authors

Chenthuran Deivaraju

Richard Vlasak

Kalia Sadasivan

Affiliations

Soon will be listed here.

Abstract

Aim: To evaluate outcomes following staged anterolateral plating of pilon fractures.

Methods: Over a 5 year period, patients with pilon fractures received four treatment regimens (staged anterolateral plating, staged medial plating, definitive external fixation, early total care). We defined five outcomes (reduction, soft tissue complications, infection, non-union, malunion) and assessed the outcome of fractures treated by these interventions.

Results: Staged anterolateral plating or staged medial plating achieved comparable reduction and soft tissue complications. Staged medial plating had higher infection rates, malunion and non-union rates.

Conclusions: Staged anterolateral plating is superior to staged medial plating in the management of pilon fractures.

Citing Articles

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Immediate plate fixation of open tibial plafond fractures does not elevate risk of infection.

Burkhart R, Ina J, Hirschfeld A, Levine A, Romeo N Arch Orthop Trauma Surg. 2024; 144(4):1453-1459.

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Medial malleolar window approach for varus-type tibial pilon fractures: a retrospective study.

Yang K, Shen G, Zheng Q, Yang H, Zhang H, Li X BMC Musculoskelet Disord. 2023; 24(1):358.

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Early Reduction of the Posterior Column: A Surgical Technique in AO/OTA C3 Tibial Pilon Fractures.

Gao Y, Zhu H, Guo Y, Yu X J Pers Med. 2023; 13(3).

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Surgical approach strategies for open reduction internal fixation of closed complex tibial Pilon fractures based on axial CT scans.

Zhao Y, Wu J, Wei S, Xu F, Kong C, Zhi X J Orthop Surg Res. 2020; 15(1):283.

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