Fine wire versus locking plate fixation of type C pilon fractures

Mehta, Nisarg; Graham, Simon Matthew; Lal, Nikhil; Wells, Lauren; Giotakis, Nikolaos; Nayagam, Selvadurai; Narayan, Badri

doi:10.1007/s00590-021-03048-3

Cited by 3 publications

(1 citation statement)

References 24 publications

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“…In complex skeletal trauma, various LRS surgical methods and techniques can be used to achieve a good functional outcome for patients where conventional techniques have either failed or are deemed inadequate. 1 In addition to managing musculoskeletal trauma, limb reconstruction principles can also be applied to treat conditions such as musculoskeletal infection, fracture non-union, and both congenital and acquired limb deformities. 2 …”

Section: Introductionmentioning

confidence: 99%

Identifying Research Priorities in Limb Reconstruction Surgery in the United Kingdom

British Limb Reconstruction Society Research Collaborative,

Graham

2024

Strategies in Trauma and Limb Reconstruction

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Introduction Limb reconstruction surgery (LRS) has a wide range of clinical applications within orthopaedic and trauma surgery. We sought a consensus view from limb reconstruction healthcare practitioners across the United Kingdom to help guide research priorities within LRS. Our aim is to guide future clinical research in LRS, and assist healthcare practitioners, clinical academics, and funding bodies in identifying key research priorities to improve patient care. Materials and methods A modified Delphi approach was used; it involved an initial scoping survey and a 2-round Delphi process to identify the consensus research priorities in both adult and paediatric LRS. Participants were asked to rank approved submitted questions according to perceived importance on a 5-point Likert scale, where 1 represented lowest importance and 5 indicated highest importance. Mean scores were calculated to identify a consensus of the top ten research priorities for adult and paediatric LRS. Results One hundred and fifteen participants primarily from across the United Kingdom working in LRS contributed to the modified Delphi process. Participants ranked and then re-ranked the presented research topics in terms of perceived importance. This led to the identification of a top ten research priorities in both adult and paediatric LRS, respectively, based on the collective responses of LRS practitioners. The highest-ranked questions in both adult and paediatric practice related to how to best assess and record patient-reported outcome measures (PROMs) in LRS patients. Other priorities included the effectiveness of specialist physiotherapy, the use of patient-focused psychological support, and the use of various operative management strategies for infection and limb length discrepancies. Conclusion We present a consensus-driven research priority study that outlines the key research topics and themes determined by healthcare professionals within LRS in the United Kingdom. Clinical significance These questions will assist funding bodies in prioritising where research funding may be best utilised and help drive future improvement in patient care. How to cite this article British Limb Reconstruction Society Research Collaborative. Identifying Research Priorities in Limb Reconstruction Surgery in the United Kingdom. Strategies Trauma Limb Reconstr 2024;19(1):1–8.

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Section: Introductionmentioning

confidence: 99%

Identifying Research Priorities in Limb Reconstruction Surgery in the United Kingdom

British Limb Reconstruction Society Research Collaborative,

Graham

2024

Strategies in Trauma and Limb Reconstruction

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Comparison of complications and reoperations in AO/OTA 43.C3 pilon fractures treated with conventional ORIF versus minimally invasive hexapod ring fixation

Bastías,

Sepúlveda,

Bruna

et al. 2023

Injury

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Management of Pilon Fractures—Current Concepts

et al. 2021

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Tibial pilon fractures were first described by Étienne Destot in 1911. He used the French word “pilon” (i.e., pestle), to describe the mechanical function of the distal tibia in the ankle joint. This term has further been used to portray the mechanism involved in tibial pilon fractures in which the distal tibia acts as a pestle with heavy axial forces over the talus basically causing the tibia to burst. Many different classification systems exist so far, with the AO Classification being the most commonly used classification in the clinical setting. Especially Type C fractures are extremely difficult to manage as the high energy involved in developing this type of injury frequently damages the soft tissue surrounding the fracture zone severely. Therefore, long -term outcome is often poor and correct initial management crucial. In the early years of this century treatment has evolved to a two–staged protocol, which nowadays is the gold standard of care. Additional methods of treating the soft tissue envelope are currently being investigated and have shown promising results for the future. The aim of this review is therefore to summarize protocols in managing these difficult fractures, review the literature on recent developments and therefore give surgeons a better understanding and ability to handle tibial pilon fractures.

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Fine wire versus locking plate fixation of type C pilon fractures

Cited by 3 publications

References 24 publications

Identifying Research Priorities in Limb Reconstruction Surgery in the United Kingdom

Identifying Research Priorities in Limb Reconstruction Surgery in the United Kingdom

Comparison of complications and reoperations in AO/OTA 43.C3 pilon fractures treated with conventional ORIF versus minimally invasive hexapod ring fixation

Management of Pilon Fractures—Current Concepts

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