The use of trans-articular and extra-articular external fixation for management of distal tibial intra-articular fractures

El-Shazly, M; Dalby-Ball, J; Burton, Maria; Saleh, Michael

doi:10.1016/s0020-1383(01)00159-0

Cited by 22 publications

(17 citation statements)

References 18 publications

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“…27,31,32 However, they are similar to other results previously reported. 33,34 Therefore, the present review supports the idea that most common traumas in the adult population (ie, luxation, open, high-energy, with large soft tissues injury fractures) are more severe, unlike the typical traumas reported in the elderly population (general low-trauma energy resulting from falls). 21,28,29 Thus, the fracture characteristic (high energy vs low energy) may represent a fundamental aspect in the QOL of patients with surgically treated AF.…”

Section: Discussionsupporting

confidence: 80%

Functional Outcomes and Quality of Life After Ankle Fracture Surgically Treated: A Systematic Review

Ávila¹,

Bento²,

Gomes³

et al. 2018

Journal of Sport Rehabilitation

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Context: Ankle fractures (AFs) are the most common fractures of the lower limbs found in emergency services. Approximately 53% of these fractures are unstable and treated surgically. Objective: To conduct a systematic review evaluating functional outcomes and quality of life of patients with AFs surgically treated. Evidence Acquisition: A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses statement. Five electronic databases were searched, without any limit on publication dates. Only patients with an unstable AF that was surgically treated were included; functional outcomes and the quality of life were controlled by the 36-Item Short-Form Health Survey instrument. Evidence Synthesis: Five studies were included in the analysis, including 267 patients. The values of the Physiotherapy Evidence Database scale ranged between a minimum of 5 and a maximum of 7 points. Patients with surgically treated AF reported less functionality and physical capacity compared with the nonfractured population. Some patients experienced vitality, emotional, and mental health limitations for a long period. Most surgically treated patients reported no pain and a good health and social status. Conclusion: Limitations in functionality and physical capacity represent the main threats to health-related quality of life in patients with surgically treated AFs.

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Section: Discussionsupporting

confidence: 80%

Functional Outcomes and Quality of Life After Ankle Fracture Surgically Treated: A Systematic Review

Ávila¹,

Bento²,

Gomes³

et al. 2018

Journal of Sport Rehabilitation

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“…Studies show that minimal internal fixation and external skeletal fixation achieve good results in the treatment of these fractures. A higher percentage of superficial infections around the pins does not affect the final outcome of the treatment 19 . Bone 1 also describes satisfactory results in the application of this method.…”

Section: Discussionmentioning

confidence: 92%

“…Procenat zarastanja preloma iznosio je 90,32%, nezarastanja 3,22% i lošeg zarastanja 6,45%. Prose no trajanje zarastanja preloma iznosilo je 14 (12)(13)(14)(15)(16)(17)(18)(19)(20) nedelja. Bilo je 4 (12,19%) infekcija oko klinova spoljašnjeg skeletnog fiksatora i 1 (3,22%) duboka infekcije.…”

Section: Apstraktunclassified

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Distal tibial pilon fractures (AO/OTA type B, and C) treated with the external skeletal and minimal internal fixation method

Milenković

Mitković

Micić

et al. 2013

VSP

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“…Given the often diverse fracture patterns, a variety of operative strategies have evolved to treat these injuries, ranging from external fixation (El-Shazly et al 2001, Babis et al 2010) to locked compression plating (Bahari et al 2007, Ahmad et al 2012). …”

mentioning

confidence: 99%

Distal tibia fractures: locked or non-locked plating?

Khalsa¹,

Toossi²,

Tabb³

et al. 2014

Acta Orthopaedica

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Background and purposeAlthough plating is considered to be the treatment of choice in distal tibia fractures, controversies abound regarding the type of plating for optimal fixation. We conducted a systematic review to evaluate and compare the outcomes of locked plating and non-locked plating in treatment of distal tibia fractures.Patients and methodsA systematic review was conducted using PubMed to identify articles on the outcomes of plating in distal tibia fractures that were published up to June 2012. We included English language articles involving a minimum of 10 adult cases with acute fractures treated using single-plate, minimally invasive techniques. Study-level binomial regression on the pooled data was conducted to determine the effect of locking status on different outcomes, adjusted for age, sex, and other independent variables.Results27 studies met the inclusion criteria and were included in the final analysis of 764 cases (499 locking, 265 non-locking). Based on descriptive analysis only, delayed union was reported in 6% of cases with locked plating and in 4% of cases with non-locked plating. Non-union was reported in 2% of cases with locked plating and 3% of cases with non-locked plating. Comparing locked and non-locked plating, the odds ratio (OR) for reoperation was 0.13 (95% CI: 0.03–0.57) and for malalignment it was 0.10 (95% CI: 0.02–0.42). Both values were statistically significant.InterpretationThis study showed that locked plating reduces the odds of reoperation and malalignment after treatment for acute distal tibia fracture. Future studies should accurately assess causality and the clinical and economic impact of these findings.

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The use of trans-articular and extra-articular external fixation for management of distal tibial intra-articular fractures

Cited by 22 publications

References 18 publications

Functional Outcomes and Quality of Life After Ankle Fracture Surgically Treated: A Systematic Review

Functional Outcomes and Quality of Life After Ankle Fracture Surgically Treated: A Systematic Review

Distal tibial pilon fractures (AO/OTA type B, and C) treated with the external skeletal and minimal internal fixation method

Distal tibia fractures: locked or non-locked plating?

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