Intra-articular fractures of the distal tibia: surgical management by limited internal fixation and articulated distraction

Saleh, Michael; Shanahan, M.D.G.; Fern, E.D.

doi:10.1016/0020-1383(93)90081-g

Cited by 90 publications

(26 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Other authors have used minimally invasive percutaneous screw fixation and external fixation with excellent results [17]. However, not all patients are able to tolerate prolonged external fixation and, despite accurate cleaning, pin-site infections are common and can dictate the abandonment of external fixation [1].…”

Section: Discussionmentioning

confidence: 99%

Percutaneous plating of distal tibial fractures

Maffulli

Toms

McMurtie

et al. 2004

International Orthopaedics

110

View full text Add to dashboard Cite

We studied 20 patients (mean age 47.9€3.9, range 25-85 years) undergoing percutaneous plating of the distal tibia for 43A or 43C fractures in the period 1999-2002. Bony and functional results were classified into four categories ranging from excellent to poor. Union was achieved in all but one patient. Seven patients had angular deformities between 7 and 10, but none of these patients required further operations. No patient had a leglength discrepancy greater than 1 cm. Thirteen patients had excellent and good bone results, and none used walking aids. Seven patients reported stiffness of the operated ankle. This reported use of percutaneous techniques in the management of fractures of the distal tibial metaphysis is preliminary. However, the functional results and the lack of soft tissue complications are encouraging.

show abstract

Section: Discussionmentioning

confidence: 99%

Percutaneous plating of distal tibial fractures

Maffulli

Toms

McMurtie

et al. 2004

International Orthopaedics

110

View full text Add to dashboard Cite

show abstract

“…[5,6] Eklemi geçen fiksatörlerde stabilite, ayak bileği hareketli olanlarda ise iyi fonsiyonel sonuçlar hedeflenmektedir. [6,7] Artrodiastazis için genellikle kalkaneal yarım halka distal tibial halka ile birleştirilerek distraksiyon yapılır. Ancak bu işlem neticesinde ayak bileği eklemi uzun bir süre hareketsiz kalmaktadır.…”

unclassified

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

Fırat¹

2013

Eklem Hastalik Cerrahisi

View full text Add to dashboard Cite

Amaç: Bu çalışmada şu sorulara yanıt bulmayı amaçladık: (i) Eklemli İlizarov eksternal fiksatörü ile tedavi edilen tibia pilon kırıklı hastaların ayak bileği fonksiyonları sabit olanlara göre daha iyi midir? (ii) Post-travmatik artroz, eklemli İlizarov eksternal fiksatörü ile tedavi edilen hastalarda daha az mıdır? years; range 20 to 78 years) who were treated with Ilizarov external fixator due to tibial pilon fracture were retrospectively evaluated. The patients were divided into two groups including those with an ankle hinged Ilizarov external fixator (group A, n=16) and an ankle fixed Ilizarov external fixator (group B, n=18). Preoperative and postoperative complications in the patients and quality of reduction were evaluated. In the last follow-up visit, ankle plantar and dorsiflexion range of motion and length of tibia were goniometrically measured. The functional assessment of the patients was performed using Teeny and Wiss scale. Posttraumatic arthrosis in the standard ankle X-rays was investigated. Results: The mean degree of plantar flexion was significantly higher in group A (25° in group A, 12.4° in group B). In the last visit, satisfactory results were obtained in 62.5% patients of group A and in 38.8% patients of group B according to Teeny and Wiss scale. Repeated X-rays revealed posttraumatic arthrosis in 31.3% patients of group A (n=5) and in 55.5% patients of group B (n=10). Conclusion: The selection of an ankle hinged Ilizarov external fixator and early joint movement is an effective treatment method for the management of tibial pilon fractures usually accompanied by soft tissue injuries.

show abstract

“…8). L'utilizzo di fissatori esterni articolati può costituire una futura valida alternativa per queste fratture [46][47][48][49], così come le placche a scorrimento con mini-accesso [50][51][52] (cosiddetto trattamento "biologico") o l'utilizzo di fissazione interna ed esterna associate [10,33,42,45,53]. L'artrodesi "d'emblée" è oggi riservata alle gravi comminuzioni articolari non altrimenti ricostruibili [54][55][56][57][58].…”

Section: Trattamentounclassified

Fratture del pilone tibiale nell’adulto: la nostra esperienza e algoritmo di trattamento

Vasario

Parola

Artiaco

et al. 2010

LO SCAL

View full text Add to dashboard Cite

TIBIAL PILON FRACTURES IN ADULTS: OUR EXPERIENCE AND TREATMENT ALGORITHMThe tibial pilon fractures constitute about 5-7% of fractures of the tibia. The treatment of this type of fracture is a very timely topic, since there is no real consensus on the unique methods of treatment, which must take into account not only the stabilization of bone but also soft tissue which frequently leads to complications. at the Torino Nord Emergenza San Giovanni Bosco hospital were treated 16 patients (7 men, 9 women, mean age 49 ± 18.9 years) with tibial pilon fracture with emergency stabilization with external fixator and subsequent treatment following a biphasic protocol. The most frequently used treatment was external fixation (62.5%), alone (4 cases) or associated with a summary percutaneous screws (6 cases), while ORIF was selected as definitive treatment in 37.5% of cases. The authors present their experience in the surgical treatment of such fractures with special attention to the most recent international guidelines, the decision algorithms and the timing of surgery. Currently was not prooved in any way the superiority of any specific treatment method, the only recommendation to use a two-phase protocol for the treatment of soft tissue. This again brings out the complexity of the treatment of tibial pilon fractures and the importance of further studies (including randomized controlled trials) for the formulation of evidence-based treatment recommendations. In clinical practice, in is crucial a careful and detailed patient explanation to the patient of the risks of this type of surgery and risks of evolution in ankle osteoarthritis. Aggiornamenti IntroduzioneIl pilone tibiale corrisponde anatomicamente all'estremità inferiore della tibia, cioè all'epifisi distale, compresa la superficie articolare. Il suo limite superiore è rappresentato all'incirca a 8-10 cm dalla superficie articolare tibio-tarsica, dove la sezione triangolare della diafisi tibiale, con una cresta anteriore, cambia di direzione. La particolare conformazione tridimensionale di questa zona scheletrica permette di aumentare la superficie di carico, distribuendola sull'articolazione tibio-tarsica e quella malleolare [1]. Le fratture del pilone tibiale costituiscono circa il 5-7% delle fratture della tibia [2]. Il trattamento di questo tipo di fratture costituisce un argomento di grande attualità [3,4], in quanto non esiste un vero e proprio consenso univoco sulle metodiche di trattamento, che deve tenere in considerazione non solo la stabilizzazione ossea, ma anche quella dei tessuti molli che costituisce frequente causa di complicanze [5,6]. Inoltre, per evitare l'evoluzione

show abstract

Intra-articular fractures of the distal tibia: surgical management by limited internal fixation and articulated distraction

Cited by 90 publications

References 8 publications

Percutaneous plating of distal tibial fractures

Percutaneous plating of distal tibial fractures

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

Fratture del pilone tibiale nell’adulto: la nostra esperienza e algoritmo di trattamento

Contact Info

Product

Resources

About