Type C tibial pilon fractures

Duckworth, Andrew D.; Jefferies, J G; Clement, Nick D; White, T O

doi:10.1302/0301-620x.98b8.36400

“…Considering these data, it is possible to compare our FAOS scores with results from other studies. Duckworth et al reported a mean FAOS score of 76 (mean follow-up 6 years) in complex tibial pilon fractures, compared with the score of 60.7 in our study (mean follow-up 41 months) [14]. Unfortunately, no subscores were reported in the tibial pilon fracture study.…”

Section: Discussioncontrasting

confidence: 78%

Outcomes of tissue reconstruction in distal lower leg fractures: a retrospective cohort study

Aydogan

¹

,

Langer

²

,

Josten

³

et al. 2020

Preprint

0

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Background: Open and closed fractures can be associated with posttraumatic or postoperative soft tissue defects caused by initial trauma, operative procedures, or infections. This study evaluated the postoperative outcomes in patients with open or closed lower leg fractures, related soft tissue defects, and subsequent flap coverage.Methods: We performed a retrospective single-center cohort study in a level 1 trauma center. We analyzed the patients treated from January 2012 through December 2017 and recorded demographics, treatment, and outcome data. The outcome data were measured via patient-reported Foot and Ankle Outcomes Scores (FAOS) and EQ-5D-5L scores.Results: We included 22 patients with complicated fractures (11 open and 11 closed) and subsequent soft tissue defects and flap coverages. The mean follow-up time was 41.2 months. Twenty-one patients developed infections, and necrosis at the site of surgery manifested in all closed fractures. Therefore, all patients needed soft tissue reconstructions. Preoperatively, 16 patients underwent arterial examinations via angiography and six underwent ultrasound examinations of the venous system. Ten patients had complications involving the flaps due to ischemia and consequent necrosis. The mean EQ-5D index was 0.62 ± 0.27, and EQ-5D VAS score was 57.7 ± 20.2. The mean FAOS was 60.7 ± 22.2; in particular, quality of life was 32.3 ± 28.8. The rate of returning to work in our patient group was 37.5% after one year.Conclusions: Distal tibial fractures often require revisions and soft tissue reconstruction. The evaluated patient population had poor outcomes in terms of function, quality of life, and return to work. Furthermore, patients suffering from flap ischemia have worse outcomes than those without flap ischemia.

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“…Considering these data, it is possible to compare our FAOS scores with results from other studies. Duckworth et al reported a mean FAOS score of 76 (mean follow-up 6 years) in complex tibial pilon fractures, compared with the score of 60.7 in our study (mean follow-up 41 months) [7]. Unfortunately, no subscores were reported in the tibial pilon fracture study.…”

Section: Discussioncontrasting

confidence: 78%

“…In a case series regarding classification schema, Gustilo et al described patients with ischemic limbs requiring emergency revascularization (type IIIC) as having the worst prognosis of all patients requiring limb salvage [6]. Traumatic ankle injuries are known to impact patient-reported function and quality of life [7,8]. However, little is known about patient-reported outcomes in people with severe injuries that require revisions and soft tissue reconstruction.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of tissue reconstruction in distal lower leg fractures: a retrospective cohort study

Aydogan¹,

Langer²,

Josten³

et al. 2020

BMC Musculoskelet Disord

7

0

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Background Open and closed fractures can be associated with posttraumatic or postoperative soft tissue defects caused by initial trauma, operative procedures, or infections. This study evaluated the postoperative outcomes in patients with open or closed lower leg fractures, related soft tissue defects, and subsequent flap coverage. Methods We performed a retrospective single-center cohort study in a level 1 trauma center. We analyzed the patients treated from January 2012 through December 2017 and recorded demographics, treatment, and outcome data. The outcome data were measured via patient-reported Foot and Ankle Outcomes Scores (FAOS) and EQ-5D-5L scores. Results We included 22 patients with complicated fractures (11 open and 11 closed) and subsequent soft tissue defects and flap coverages. The mean follow-up time was 41.2 months. Twenty-one patients developed infections, and necrosis at the site of surgery manifested in all closed fractures. Therefore, all patients needed soft tissue reconstructions. Preoperatively, 16 patients underwent arterial examinations via angiography and six underwent ultrasound examinations of the venous system. Ten patients had complications involving the flaps due to ischemia and consequent necrosis. The mean EQ-5D index was 0.62 ± 0.27, and EQ-5D VAS score was 57.7 ± 20.2. The mean FAOS was 60.7 ± 22.2; in particular, quality of life was 32.3 ± 28.8. The rate of returning to work in our patient group was 37.5% after 1 year. Conclusions Distal tibial fractures often require revisions and soft tissue reconstruction. The evaluated patient population had poor outcomes in terms of function, quality of life, and return to work. Furthermore, patients suffering from flap ischemia have worse outcomes than those without flap ischemia.

show abstract

“…Duckworth et al reported a mean FAOS score of 76 (mean follow-up 6 years) in complex tibial pilon fractures, compared with the score of 60.7 in our study (mean follow-up 41 months)[14]. Unfortunately, no subscores were reported in the tibial pilon fracture study.…”

contrasting

confidence: 78%

Outcomes of tissue reconstruction in distal lower leg fractures: a retrospective cohort study 

Aydogan

¹

,

Langer

²

,

Josten

³

et al. 2020

Preprint

0

View full text Add to dashboard Cite

Background: Open and closed fractures can be associated with posttraumatic or postoperative soft tissue defects caused by initial trauma, operative procedures, or infections. This study evaluated the postoperative outcomes in patients with open or closed lower leg fractures, related soft tissue defects, and subsequent flap coverage.Methods: We performed a retrospective single-center cohort study in a level 1 trauma center. We analyzed the patients treated from January 2012 through December 2017 and recorded demographics, treatment, and outcome data. The outcome data were measured via patient-reported Foot and Ankle Outcomes Scores (FAOS) and EQ-5D-5L scores.Results: We included 22 patients with complicated fractures (11 open and 11 closed) and subsequent soft tissue defects and flap coverages. The mean follow-up time was 41.2 months. Twenty-one patients developed infections, and necrosis at the site of surgery manifested in all closed fractures. Therefore, all patients needed soft tissue reconstructions. Preoperatively, 16 patients underwent arterial examinations via angiography and six underwent ultrasound examinations of the venous system. Ten patients had complications involving the flaps due to ischemia and consequent necrosis. The mean EQ-5D index was 0.62 ± 0.27, and EQ-5D VAS score was 57.7 ± 20.2. The mean FAOS was 60.7 ± 22.2; in particular, quality of life was 32.3 ± 28.8. The rate of returning to work in our patient group was 37.5% after one year.Conclusions: Distal tibial fractures often require revisions and soft tissue reconstruction. The evaluated patient population had poor outcomes in terms of function, quality of life, and return to work. Furthermore, patients suffering from flap ischemia have worse outcomes than those without flap ischemia.

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Type C tibial pilon fractures

Cited by 64 publications

References 28 publications

Outcomes of tissue reconstruction in distal lower leg fractures: a retrospective cohort study

Outcomes of tissue reconstruction in distal lower leg fractures: a retrospective cohort study

Outcomes of tissue reconstruction in distal lower leg fractures: a retrospective cohort study

Outcomes of tissue reconstruction in distal lower leg fractures: a retrospective cohort study

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Type C tibial pilon fractures

Cited by 64 publications

References 28 publications

Outcomes of tissue reconstruction in distal lower leg fractures: a retrospective cohort study

Outcomes of tissue reconstruction in distal lower leg fractures: a retrospective cohort study

Outcomes of tissue reconstruction in distal lower leg fractures: a retrospective cohort study

Outcomes of tissue reconstruction in distal lower leg fractures: a retrospective cohort study&nbsp;

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Outcomes of tissue reconstruction in distal lower leg fractures: a retrospective cohort study