Research Article
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Year 2018, Volume: 4 Issue: 3, 162 - 167, 04.07.2018
https://doi.org/10.18621/eurj.366170

Abstract

References

  • [1] Calori GM, Tagliabue L, Mazza E, de Bellis U, Pierannunzii L, Marelli BM, et al. Tibial pilon fractures: which method of treatment? Injury 2010;41:1183-90.
  • [2] Krettek C, Bachmann S. Pilon-Frakturen. Chirurg 2015;86:87-104.
  • [3] Mauffrey C, Vasario G, Battiston B, Lewis C, Beazley J, Seligson D. Tibial pilon fractures: a review of incidence, diagnosis, treatment, and complications. Acta Orthop Belg 2011;77:432-40.
  • [4] Sirkin M, Sanders R, DiPasquale T, Herscovici D Jr. A staged protocol for soft tissue management in the treatment of complex pilon fractures. J Orthop Trauma 2004;18:S32-S38.
  • [5] White TO, Guy P, Cooke CJ, Kennedy SA, Droll KP, Blachut PA, et al. The results of early primary open reduction and internal fixation for treatment of OTA 43.C-type tibial pilon fractures: a cohort study. J Orthop Trauma 2010;24:757-63.
  • [6] Joveniaux P, Ohl X, Harisboure A, Berrichi A, Labatut L, Simon P, et al. Distal tibia fractures: management and complications of 101 cases. Int Orthop 2010;34:583-8.
  • [7] Teeny SM, Wiss DA. Open reduction and internal fixation of tibial plafond fractures: variables contributing to poor results and complications. Clin Orthop 1993;292:108-17.
  • [8] Tornetta P 3rd, Weiner L, Bergman M, Watnik N, Steuer J, Kelley M, et al. Pilon fractures: treatment with combined internal and external fixation. J Orthop Trauma 1993;6:489-96.
  • [9] Okcu G, Aktuglu K. Intra-articular fractures of the tibial plafond. A comparison of the results using articulated and ring external fixators. J Bone Joint Surg Br 2004;86:868-75.
  • [10] Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am 1976;58:453-8.
  • [11] Bargon G. Röntgenmorphologische Gradeinteilung der posttraumatischen Arthrose im oberen Sprunggelenk. HefteUnfallheilkd 1978;133:28-34.
  • [12] Beals TC. Application of ring fixators in complex foot and ankle trauma. Orthop Clin North Am 2001;32:205-14.
  • [13] Kapoor SK, Kataria H, Patra SR, Boruah T. Capsuloligamentotaxis and definitive fixation by an ankle-spanning Ilizarov fixator in high-energy pilon fractures. J Bone Joint Surg Br 2010;92:1100-6.
  • [14] Wyrsch B, McFerran MA, McAndrew M, Limbird TJ, Harper MC, Johnson KD, et al. Operative treatment of fractures of the tibial plafond. A randomized, prospective study. J Bone Joint Surg Am 1996;78:1646-57.
  • [15] Marsh JL, Bonar S, Nepola JV, Decoster TA, Hurwitz SR. Use of an articulated external fixator for fractures of the tibial plafond. J Bone Joint Surg Am 1995;77:1498-509.
  • [16] McDonald MG, Burgess RC, Bolano LE, Nicholls PJ. Ilizarov treatment of pilon fractures. Clin Orthop 1996;325:232-8.
  • [17] Osman W, Alaya Z, Kaziz H, Hassini L, Braiki M, Naouar N, et al. Treatment of high-energy pilon fractures using the ILIZAROV treatment. Pan Afr Med J 2017;27:199.
  • [18] Pugh KJ, Wolinsky PR, McAndrew MP, Johnson KD. Tibial pilon fractures: a comparison of treatment methods. J Trauma 1999;47:937-41.
  • [19] Watson JT, Moed BR, Karges DE, Cramer KE. Treatment protocol based on severity of soft tissue injury. Clin Orthop 2000;375:78-90.
  • [20] Vidyadhara S, Sharath K. Ilizarov treatment of complex tibial pilon fractures. Int Orthop 2006;30:113-7.
  • [21] Brumback RJ, McGarvey WC. Fractures of the tibial plafond: evolving treatment concepts for the pilon fracture. Orthop Clin North Am 1995;26:273-85.
  • [22] Bone L, Stegemann P, McNamara K, Seibel R. External fixation of severely comminuted and open tibial pilon fractures. Clin Orthop Relat Res 1993;292:101-7.
  • [23] Fırat A, Tecimel O, Işık C, Ozdemir M, Oçgüder A, Bozkurt M. [Ilizarov external fixator in the management of tibial pilon fractures: ankle hinged vs ankle fixed frame]. Eklem Hastalik Cerrahisi 2013;24:133-8. [Article in Turkish]
  • [24] Guo Y, Tong L, Li S, Liu Z. External fixation combined with limited internal fixation versus open reduction internal fixation for treating Ruedi-Allgower type III pilon fractures. Med Sci Monit 2015;21:1662-7.
  • [25] Elsoe R, Larsen P, Petruskevicius J, Kold S. Complex tibial fractures are associated with lower social classes and predict early exit from employment and worse patient-reported QOL: a prospective observational study of 46 complex tibial fractures treated with a ring fixator. Strategies Trauma Limb Reconstr 2017 Nov 4. doi: 10.1007/s11751-017-0301-y.

Open tibial pilon fractures: treatment with ankle-spanning Ilizarov fixator

Year 2018, Volume: 4 Issue: 3, 162 - 167, 04.07.2018
https://doi.org/10.18621/eurj.366170

Abstract

Objective. The aim of this retrospective study was to report the treatment results obtained with the
ankle-spanning Ilizarov fixator technique in the treatment of complex OTA/AO
type 43C3 open tibial pilon fractures. Methods. A total of 14
patients with open OTA/AO type 43C3 tibial pilon fractures were evaluated. The
demographics and fracture characteristics, preoperative and postoperative
radiological evaluations, duration of follow-up (months), time to union
(months) and complications were recorded. After collection of operative data,
patients were invited for functional and radiological outcome evaluation. American
Orthopaedic Foot and Ankle Society (AOFAS) scores and range of movement (ROM) of the ankle joint were
investigated. Also radiologically the ankle osteoarthritis level according to
the Bargon et al. criteria was noted.
Results.
The mean age of the patients was 48.7 years (range, 26-72 years). The mean
follow-up period was 32 months (range, 25-46 months). The clinical and
radiological time to union was mean 6.5 months (range, 5-11 months). On the
postoperative ankle CT images, the separation within the ankle was measured as
< 2mm in all patients and in 3 patients, stepping was measured as > 2mm.
Following removal of the external fixator, dorsiflexion was measured as mean
15.5° (range, 0°-23°) and plantar flexion as mean 26.14° (range, 13°-36°). The
mean AOFAS was 80.35 (range, 56-92). Conclusion. Satisfactory results can be obtained with the Ilizarov external fixator
passing the ankle in the permanent treatment of AO-43C3 type open tibial pilon
fractures. 

References

  • [1] Calori GM, Tagliabue L, Mazza E, de Bellis U, Pierannunzii L, Marelli BM, et al. Tibial pilon fractures: which method of treatment? Injury 2010;41:1183-90.
  • [2] Krettek C, Bachmann S. Pilon-Frakturen. Chirurg 2015;86:87-104.
  • [3] Mauffrey C, Vasario G, Battiston B, Lewis C, Beazley J, Seligson D. Tibial pilon fractures: a review of incidence, diagnosis, treatment, and complications. Acta Orthop Belg 2011;77:432-40.
  • [4] Sirkin M, Sanders R, DiPasquale T, Herscovici D Jr. A staged protocol for soft tissue management in the treatment of complex pilon fractures. J Orthop Trauma 2004;18:S32-S38.
  • [5] White TO, Guy P, Cooke CJ, Kennedy SA, Droll KP, Blachut PA, et al. The results of early primary open reduction and internal fixation for treatment of OTA 43.C-type tibial pilon fractures: a cohort study. J Orthop Trauma 2010;24:757-63.
  • [6] Joveniaux P, Ohl X, Harisboure A, Berrichi A, Labatut L, Simon P, et al. Distal tibia fractures: management and complications of 101 cases. Int Orthop 2010;34:583-8.
  • [7] Teeny SM, Wiss DA. Open reduction and internal fixation of tibial plafond fractures: variables contributing to poor results and complications. Clin Orthop 1993;292:108-17.
  • [8] Tornetta P 3rd, Weiner L, Bergman M, Watnik N, Steuer J, Kelley M, et al. Pilon fractures: treatment with combined internal and external fixation. J Orthop Trauma 1993;6:489-96.
  • [9] Okcu G, Aktuglu K. Intra-articular fractures of the tibial plafond. A comparison of the results using articulated and ring external fixators. J Bone Joint Surg Br 2004;86:868-75.
  • [10] Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am 1976;58:453-8.
  • [11] Bargon G. Röntgenmorphologische Gradeinteilung der posttraumatischen Arthrose im oberen Sprunggelenk. HefteUnfallheilkd 1978;133:28-34.
  • [12] Beals TC. Application of ring fixators in complex foot and ankle trauma. Orthop Clin North Am 2001;32:205-14.
  • [13] Kapoor SK, Kataria H, Patra SR, Boruah T. Capsuloligamentotaxis and definitive fixation by an ankle-spanning Ilizarov fixator in high-energy pilon fractures. J Bone Joint Surg Br 2010;92:1100-6.
  • [14] Wyrsch B, McFerran MA, McAndrew M, Limbird TJ, Harper MC, Johnson KD, et al. Operative treatment of fractures of the tibial plafond. A randomized, prospective study. J Bone Joint Surg Am 1996;78:1646-57.
  • [15] Marsh JL, Bonar S, Nepola JV, Decoster TA, Hurwitz SR. Use of an articulated external fixator for fractures of the tibial plafond. J Bone Joint Surg Am 1995;77:1498-509.
  • [16] McDonald MG, Burgess RC, Bolano LE, Nicholls PJ. Ilizarov treatment of pilon fractures. Clin Orthop 1996;325:232-8.
  • [17] Osman W, Alaya Z, Kaziz H, Hassini L, Braiki M, Naouar N, et al. Treatment of high-energy pilon fractures using the ILIZAROV treatment. Pan Afr Med J 2017;27:199.
  • [18] Pugh KJ, Wolinsky PR, McAndrew MP, Johnson KD. Tibial pilon fractures: a comparison of treatment methods. J Trauma 1999;47:937-41.
  • [19] Watson JT, Moed BR, Karges DE, Cramer KE. Treatment protocol based on severity of soft tissue injury. Clin Orthop 2000;375:78-90.
  • [20] Vidyadhara S, Sharath K. Ilizarov treatment of complex tibial pilon fractures. Int Orthop 2006;30:113-7.
  • [21] Brumback RJ, McGarvey WC. Fractures of the tibial plafond: evolving treatment concepts for the pilon fracture. Orthop Clin North Am 1995;26:273-85.
  • [22] Bone L, Stegemann P, McNamara K, Seibel R. External fixation of severely comminuted and open tibial pilon fractures. Clin Orthop Relat Res 1993;292:101-7.
  • [23] Fırat A, Tecimel O, Işık C, Ozdemir M, Oçgüder A, Bozkurt M. [Ilizarov external fixator in the management of tibial pilon fractures: ankle hinged vs ankle fixed frame]. Eklem Hastalik Cerrahisi 2013;24:133-8. [Article in Turkish]
  • [24] Guo Y, Tong L, Li S, Liu Z. External fixation combined with limited internal fixation versus open reduction internal fixation for treating Ruedi-Allgower type III pilon fractures. Med Sci Monit 2015;21:1662-7.
  • [25] Elsoe R, Larsen P, Petruskevicius J, Kold S. Complex tibial fractures are associated with lower social classes and predict early exit from employment and worse patient-reported QOL: a prospective observational study of 46 complex tibial fractures treated with a ring fixator. Strategies Trauma Limb Reconstr 2017 Nov 4. doi: 10.1007/s11751-017-0301-y.
There are 25 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Articles
Authors

Ercan Şahin

Mahmut Kalem

Publication Date July 4, 2018
Submission Date December 14, 2017
Acceptance Date December 27, 2017
Published in Issue Year 2018 Volume: 4 Issue: 3

Cite

AMA Şahin E, Kalem M. Open tibial pilon fractures: treatment with ankle-spanning Ilizarov fixator. Eur Res J. July 2018;4(3):162-167. doi:10.18621/eurj.366170

e-ISSN: 2149-3189 


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