Classifications in Brief: Rüedi-Allgöwer Classification of Tibial Plafond Fractures

Luo, T. David; Eady, J. Matthew; Aneja, Arun; Miller, Anna N.

doi:10.1007/s11999-016-5219-z

Cited by 22 publications

(12 citation statements)

References 28 publications

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“…Articles included in this analysis were as follows:All published manuscripts that were transcribed in English/Spanish, including randomized control trials, case–control studies, cohort studies, and case series published on or after January 1, 2000Studies that included infection rates for the fractures of interest (OTA/AO type 41C, OTA/AO type 43C, or their equivalents Schatzker types V/VI, Ruedi-Allgower type III) 26–28 Studies with at least 6 fractures and 75% overall frequency of the fracture types of interestMixed series in which the fractures of interest and their respective infection rates could be isolated and extracted from the remaining subjectsPatients with fractures of interest undergoing definitive surgical fixation by staged ORIF, primary ORIF, uniplanar external fixation, or multiplanar external fixation.…”

Section: Methodsmentioning

confidence: 99%

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Risk of Surgical Site Infections in OTA/AO Type C Tibial Plateau and Tibial Plafond Fractures: A Systematic Review and Meta-Analysis

Bullock

Ornell

Naranjo

et al. 2022

Journal of Orthopaedic Trauma

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ScienceDirect, and the Cochrane Library, were used in our systematic literature search. Search results were restricted to articles transcribed in English/Spanish and publication date after January 1, 2000, to present day.Study Selection: Inclusion criteria were studies reporting postoperative infection data for OTA/AO type 41C, 43C, or equivalent fractures of skeletally mature individuals. A minimum of 6 total fractures of interest and a frequency of 75% overall were required. Studies reporting on pathologic fractures, stress fractures, or lowenergy fracture types were excluded.Data Extraction: Two authors independently screened abstracts, evaluated full-text manuscripts, and extracted relevant data from included studies. Any instances of discrepancy were resolved within the study committee by consensus.Data Synthesis: Outcomes were expressed using direct proportions (PR) with a 95% confidence interval. The effects of comorbidities on infection rates were reported using odds ratios with a 95% confidence interval. All analyses used a DerSimonian-Laird estimate with a random-effects model based on heterogeneity. The presence of publication bias was evaluated using funnel plots and Egger's tests. Conclusions:Patients with these specific fractures develop infections at a notable frequency. The rates of deep infections were approximately 6% in tibial plateau fractures and 9% in tibial plafond fractures. These results may be useful as a reference for patient counseling and other future studies aimed at minimizing postoperative infection for these injuries.

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Section: Methodsmentioning

confidence: 99%

“…Studies that included infection rates for the fractures of interest (OTA/AO type 41C, OTA/AO type 43C, or their equivalents Schatzker types V/VI, Ruedi-Allgower type III) 26–28…”

Section: Methodsmentioning

confidence: 99%

Risk of Surgical Site Infections in OTA/AO Type C Tibial Plateau and Tibial Plafond Fractures: A Systematic Review and Meta-Analysis

Bullock

Ornell

Naranjo

et al. 2022

Journal of Orthopaedic Trauma

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“…Fracture pattern depends on the direction, level of application of force, and position of the foot in the event of trauma. The pattern of fractures that develop is determined by the direction and position of the foot at the time of injury (Figure 4) [2], [12].…”

Section: Anatomy and Biomechanicsmentioning

confidence: 99%

“…Pilon fracture was first proposed by Destot in 1911 and Bonin in 1950 using the French, pilon, because the surface of the distal tibia joints resembles the ceiling [1]. The term pilon is appropriate because the mechanism of this fracture is the collision of the talus bone into the tibial plafond [2]. Pilon fractures are all distal tibial fractures involving the joint surface, except lateral and medial malleolus fractures, trimalleolar fractures involving <1/3 of the joint surface in the posterior malleolus [3].…”

Section: Introductionmentioning

confidence: 99%

A Current Concepts Update in Pilon Fracture Management

Utomo

Idulhaq

Abdulhamid

2022

Open Access Maced J Med Sci

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A review of the existing literature, related to treatment options and management principles of pilon fractures, was performed, and its results are presented. Pilon fractures have a very diverse pattern, but there are general characteristics to help diagnose and plan therapy. The choice of therapy is highly dependent on the surrounding soft-tissue environment. Different methods of treatment, lack of standard management protocols, and the high risk of complications make this injury one of the biggest challenges that an orthopedic surgeon can face. This review focuses on the general aspects of the pilon fracture management as well as its complications and possible solutions.

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“…Tibial pilon fractures are quite rare, accounting for ~3–10% of all tibial fractures and <1% of all fractures to the lower extremity ( 1 – 3 ). Men tend to suffer from these injuries slightly more often than women with the majority of injuries occurring at around 45 years ( 3 , 4 ).…”

Section: Epidemiologymentioning

confidence: 99%

Management of Pilon Fractures—Current Concepts

et al. 2021

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Tibial pilon fractures were first described by Étienne Destot in 1911. He used the French word “pilon” (i.e., pestle), to describe the mechanical function of the distal tibia in the ankle joint. This term has further been used to portray the mechanism involved in tibial pilon fractures in which the distal tibia acts as a pestle with heavy axial forces over the talus basically causing the tibia to burst. Many different classification systems exist so far, with the AO Classification being the most commonly used classification in the clinical setting. Especially Type C fractures are extremely difficult to manage as the high energy involved in developing this type of injury frequently damages the soft tissue surrounding the fracture zone severely. Therefore, long -term outcome is often poor and correct initial management crucial. In the early years of this century treatment has evolved to a two–staged protocol, which nowadays is the gold standard of care. Additional methods of treating the soft tissue envelope are currently being investigated and have shown promising results for the future. The aim of this review is therefore to summarize protocols in managing these difficult fractures, review the literature on recent developments and therefore give surgeons a better understanding and ability to handle tibial pilon fractures.

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Classifications in Brief: Rüedi-Allgöwer Classification of Tibial Plafond Fractures

Cited by 22 publications

References 28 publications

Risk of Surgical Site Infections in OTA/AO Type C Tibial Plateau and Tibial Plafond Fractures: A Systematic Review and Meta-Analysis

Risk of Surgical Site Infections in OTA/AO Type C Tibial Plateau and Tibial Plafond Fractures: A Systematic Review and Meta-Analysis

A Current Concepts Update in Pilon Fracture Management

Management of Pilon Fractures—Current Concepts

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