Course of treatment and rate of successful salvage following the diagnosis of deep infection in patients treated for pilon fractures (AO/OTA: 43)

Abstract

a b s t r a c tBackground/Aims: The purpose of this study is to report the rate of successful salvage and

Pilon kırıklarının komplikasyonları

“…Derin enfeksiyon oranlarının %55'e kadar çıkabileceğini bildiren çalışmalar vardır. [6,7] Şekil 1. Tibia pilon kırığı cerrahi tedavisi sonrası yumuşak doku hematomu ve erken enfeksiyon bulguları.…”

Risk Factors for Infection and Subsequent Adverse Clinical Results in the Setting of Operatively Treated Pilon Fractures

“…1 As the soft-tissue envelope surrounding the ankle is quite thin and susceptible to disruption with injury, pilon fractures are often open injuries and among the most challenging injuries treated by orthopaedic surgeons. 2 Even with standard-of-care treatment, wherein the methodology to treat pilon fractures is dependent on the severity of soft-tissue injury and may use a staged approach, complications of infection and wound dehiscence are common and can result in considerable morbidity for patients. 3 With staged treatment, infection rates close to 10% have been reported and frequently lead to joint destruction with a need for arthrodesis or occasionally amputation.…”

“…3 With staged treatment, infection rates close to 10% have been reported and frequently lead to joint destruction with a need for arthrodesis or occasionally amputation. 2,[4][5][6] Because of the traumatized and tenuous nature of the soft-tissue envelope, extra care must be taken in planning and executing the surgery required to stabilize the pilon fracture.…”

Functional outcomes of the failed plate fixation in distal tibial fractures salvaged by hexapod external fixator

“…For the treatment of distal tibial non-unions or infections following fracture fixation limb salvage is possible, but commonly involves ankle fusion, microvascular free tissue transfers, and bone grafting [14,15]. The diagnosis of deep infection is generally associated with considerable morbidity, and often requires multiple procedures and a protracted course of treatment [16,17]. Although successful limb salvage can be achieved in approximately 80% of cases, amputation is not uncommon [16][17][18].…”

“…The diagnosis of deep infection is generally associated with considerable morbidity, and often requires multiple procedures and a protracted course of treatment [16,17]. Although successful limb salvage can be achieved in approximately 80% of cases, amputation is not uncommon [16][17][18]. Given these uncertain outcomes it was therefore the purpose of this study to evaluate functional outcomes following failed plate fixation in distal tibia fractures salvaged with hexapod circular fixators.…”