Ilizarov treatment of complex tibial pilon fractures

Abstract

We treated 21 consecutive patients between 1998 and 2002 with complex tibial pilon fractures, eight type B and 13 type C, using percutaneous reduction and fixation with the small diameter Ilizarov apparatus. The average patient age was 34+/-5.6 years (range 28-52 years). Nine of the patients had open fractures (two type I, four type II, and three type IIIA). The patients were followed up regularly at 6-month intervals for 2 years. All fractures united. The fixator was removed at an average of 26.6+/-4.2 weeks (range 20-34 weeks). The average American Orthopaedic Foot and Ankle Society ankle-hind foot score was excellent in 11 patients, good in five, fair in four, and poor in one. Thirteen patients were able to squat and climb stairs.

A holistic perspective of patients' lives post‐Ilizarov external fixation

“…Treatment times of open fractures were similar to other studies . The mean and median values for the duration of treatment, from application of the frame to removal of the frame, were comparable with other studies involving the use of IEF . A few patients with complex injuries had prolonged treatment durations.…”

Randomized controlled trial comparing outcome of hybrid Ilizarov versus distal tibial metaphyseal locking plate (P) for treatment of distal tibial fractures in adults

“…19 The aim of this study was to find out clinical and functional outcome between HI and P for distal tibia fractures in adults. The HI and P groups were similar with respect to age, sex, mode of injury, nature of fracture, associated medical problems, and injury to 8 14,15,20 In the present study, the usual mode of injury in both groups was road traffic accidents (45 % cases) followed by fall from height (40 % cases) which was similar to previous studies. 14,15,20 Most of the injuries attributed to male with injury due to fall from height can be explained with the nature of work they are into like going to field, climbing trees to get fodder for their cattle.…”

Ilizarov external fixator in the management of tibial pilon fractures: ankle hinged vs ankle fixed frame

“…Ancak bu işlem neticesinde ayak bileği eklemi uzun bir süre hareketsiz kalmaktadır. [8] Ayak bileğini sabitleyen fiksatörler ile tedavi sonrasında kontraktürler, posttravmatik artroz ve eklem fonksiyon kaybı gelişebil-mektedir. Bu noktada, distraksiyon altında ayak bileği hareketine olanak tanıyan fiksatörler iyi bir seçenek olabilmektedir.…”