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. 2015 Feb 27;12(Suppl 1):S1-6.
doi: 10.1016/j.jor.2015.01.028. eCollection 2015 Oct.

Staged treatment of pilon fractures

Chenthuran Deivaraju  1 , Richard Vlasak  2 , Kalia Sadasivan  2
Affiliations

Staged treatment of pilon fractures

Chenthuran Deivaraju et al. J Orthop. .

Abstract

Aim: To evaluate outcomes following staged anterolateral plating of pilon fractures.

Methods: Over a 5 year period, patients with pilon fractures received four treatment regimens (staged anterolateral plating, staged medial plating, definitive external fixation, early total care). We defined five outcomes (reduction, soft tissue complications, infection, non-union, malunion) and assessed the outcome of fractures treated by these interventions.

Results: Staged anterolateral plating or staged medial plating achieved comparable reduction and soft tissue complications. Staged medial plating had higher infection rates, malunion and non-union rates.

Conclusions: Staged anterolateral plating is superior to staged medial plating in the management of pilon fractures.

Keywords: Ankle fractures; Ankle joint; Fibula; Soft tissue injuries; Tibial fractures.

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Figures

Fig. 1
Fig. 1
This bar graph illustrates type of treatment for open and closed fractures.
Fig. 2
Fig. 2
This graph indicates treatment by type of fracture.
See this image and copyright information in PMC

References

    1. Mauffrey C., Vasario G., Battiston B. Tibial pilon fractures: a review of incidence, diagnosis, treatment, and complications. Acta Orthop Belg. 2011;77:432–440. - PubMed
    1. Bonar S.K., Marsh J.L. Tibial plafond fractures: changing principles of treatment. J Am Acad Orthop Surg. 1994;2:297–305. - PubMed
    1. Herscovici D., Jr., Sanders R.W., Infante A. Bohler incision: an extensile anterolateral approach to the foot and ankle. J Orthop Trauma. 2000;14:429–432. - PubMed
    1. Harris A.M., Patterson B.M., Sontich J.K. Results and outcomes after operative treatment of high-energy tibial plafond fractures. Foot Ankle Int. 2006;27:256–265. - PubMed
    1. Pollak A.N., McCarthy M.L., Bess R.S. Outcomes after treatment of high-energy tibial plafond fractures. J Bone Jt Surg Am. 2003;85-A:1893–1900. - PubMed

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