Does a two-stage approach to treat tibia pilon fractures have a favorable consequence?

Abstract

Background: Tibial pilon fractures are generally challenging to manage. The pattern of trauma and skin status all contribute to greater management outcomes. Despite the existence of numerous treatment techniques, no one has yet evolved the perfect method. Due to extended immobility, casts are frequently increasing the probability of non-union, malunion and joint stiffness. Aim: The study intended to assess the function and quality outcomes as well as the prevalence of sequelae in those who underwent the two-staged procedure in adults. Methodology: The research employed 21 patients with pilon fractures consecutively. The whole patients who were included in the study were older than 18 years and were given two staged processes of treatments for their fracture through the period between April 2019 and March 2022 at King Saud Medical City. The AO-OTA Classification is used to categorize fractured sides. The patients were followed up at predetermined intervals of 1,2,3,4,12,18,24 and 36 months and functional outcomes were reviewed utilizing AOFAS. Results: With a mean follow-up of 24.7 months (range, 12-36), a total of 21 pilon fractures (2 type 43-A, 10 type 43-B and 9 type 43-C) were studied. The average AOFAS score was 86.91.Thirteen individuals (61.9%) showed early, late, temporary or permanent concerns. Conclusion: All varieties of Pilon fractures are best treated with a two-stage orthopedic surgery owing to the high perceived functional result and briefer length of hospitalization.