Intra-articular Fractures of the Distal Tibia

Rb, Bourne; Ch, Rorabeck; Macnab, Jennifer

doi:10.1097/00005373-198307000-00008

Cited by 204 publications

(109 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…4,6,12 We believe this is related in some part, to the large percentage of open fractures in our population (over 30 of the 57 infections were open fractures and 142 of 355 (40%) identified in the general cohort) compared to most of the previously published literature (38.7%, 4 22%, 5 and 20% 12 ). Additionally, the high incidence of 43C fractures (37/47, 78.7%) may also be a contributing factor for such a hig.…”

Section: S22mentioning

confidence: 72%

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

Molina

Stinner

Fras

et al. 2015

Journal of Orthopaedics

View full text Add to dashboard Cite

show abstract

Section: S22mentioning

confidence: 72%

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

Molina

Stinner

Fras

et al. 2015

Journal of Orthopaedics

View full text Add to dashboard Cite

show abstract

“…Regardless of the direction of the approach, each incision was minimised to limit disruption of the soft tissue envelope. The relationship between fracture pattern and operative approach is outlined in Tables 2 and 3. A variety of fixation techniques were used which ranged from cortical lag screws only (23), cortical lag screws with Complications were assessed by the lead author from the medical records. Forty-eight cases were followed-up to discharge (range 1.5 months-29 months; mean 9.14 months).…”

Section: Resultsmentioning

confidence: 99%

Complications of definitive open reduction and internal fixation of pilon fractures of the distal tibia

McCann

Jackson

Mitchell

et al. 2010

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

A series of 49 pilon fractures in a tertiary referral centre treated definitively by open reduction and internal fixation have been assessed and the complications of such injuries examined. A retrospective analysis of case notes, radiographs and computerised tomographs over a sevenyear period from 1999-2006 was performed. Infection was the most common postoperative problem. There were seven cases of superficial infection. There was a single case of deep infection requiring intravenous antibiotics and removal of metalwork. Other notable complications were those of secondary osteoarthritis (three cases) and malunion (one case). The key finding of this paper is the 2% incidence of deep infection following the direct operative approach to these fractures. The traditional operative approach to such injuries (initially advocated by Rüedi and Allgöwer in Injury 2:92-99, 1969) consisted of extensive soft tissue dissection to gain access to the distal tibia. Our preferred method is to access the tibia via the "direct approach" which involves direct access to the fracture site with minimal disturbance of the soft tissue envelope. We therefore believe that open reduction and internal fixation of pilon fractures via the direct approach to be a safe technique in the treatment of such devastating injuries.

show abstract

“…However, a review of other series revealed variable results. Bourne et al [5] reported a 25% non-union rate in type III fractures (Ruedi-Allgower [18]) treated by ORIF. On the other hand Sands [19] reported only one case of non-union in 64 patients treated with ORIF.…”

Section: Resultsmentioning

confidence: 99%

Early internal fixation and soft tissue cover of severe open tibial pilon fractures

Conroy

Agarwal

Giannoudis

et al. 2003

International Orthopaedics

View full text Add to dashboard Cite

We studied 32 consecutive patients with open distal tibial pilon fractures. All patients had radical debridement with immediate skeletal stabilisation and early soft-tissue cover with a vascularized muscle flap. The minimum follow-up was 1 (range 1-8) year. There were four superficial infections, two deep infections and two amputations. There were no long-term problems with union and no patient required an ankle fusion. Patients were assessed using the SF-36 questionnaire. There were significant differences from the US norm in physical function score (p<0.01), role physical score (p<0.05) and physical component score (p<0.01). Physical component score of 38.5 was significantly better (p<0.01) when compared with amputees from severe lower-extremity trauma. Our protocol for management resulted in a good functional outcome with low infection and amputation rates.Résumé Nous avons étudié 32 malades consécutifs avec une fracture ouverte du pilon tibial. Tous les malades avaient un débridement radical avec stabilisation squelettique immédiate et couverture tissulaire précoce avec un lambeau musculaire vascularisé. Le minimum de suivi était une année (1à 8 années). Il y avait 4 infections superficielles, 2 infections profondes et 2 amputations. Il n'y avait pas de problèmes de consolidation à long terme et aucune arthrodèse de cheville ne fut nécessaire. Les malades ont été étudiés à partir du questionnaire SF-36. Il y avait des différences significatives selon la norme américaine du score de la fonction physique (p<0.01), le rôle du score physique (p<0.05) et le score de la composante physique (p<0.01). Le score composant physique de 38.5 était considérablement meilleur (p<0.01) comparé aux amputés pour traumatisme distal sévére. Notre protocole de gestion de ces fractures a conduit à un bon résultat fonctionnel avec un taux d'infection et d'amputation très bas.

show abstract

Intra-articular Fractures of the Distal Tibia

Cited by 204 publications

References 0 publications

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

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

Complications of definitive open reduction and internal fixation of pilon fractures of the distal tibia

Early internal fixation and soft tissue cover of severe open tibial pilon fractures

Contact Info

Product

Resources

About