Hybrid external fixation via a minimally invasive method for tibial pilon fractures - Technical note

Bülbül, Murat; Kuyucu, Ersin; Say, Ferhat; Kara, Adnan; Erdil, Mehmet

doi:10.1016/j.amsu.2015.09.006

Cited by 3 publications

(9 citation statements)

References 19 publications

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“…Most tibial pilon fractures are the result of axial loading, and fast axial loading disseminates an excessive amount of energy. This energy release causes severe soft tissue injuries in tibial fractures [ 2 ]. Since the development of external fixators, their minimal soft tissue damage have made these techniques increasingly popular [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…This energy release causes severe soft tissue injuries in tibial fractures [ 2 ]. Since the development of external fixators, their minimal soft tissue damage have made these techniques increasingly popular [ 2 ]. In this retrospective study, we aimed to present the clinical and radiological outcomes of patients with complex tibial pilon fractures who were treated with ring external fixators in order to evaluate the efficiency of this approach in the management of such complex conditions.…”

Section: Introductionmentioning

confidence: 99%

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Treatment of high-energy pilon fractures using the ILIZAROV treatment

Osman¹,

Alaya²,

Kaziz³

et al. 2017

Pan Afr Med J

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The management of high-energy pilon fractures is still controversial. Open reduction and internal fixation are often associated with serious complications. Various methods have been used to treat these injuries, with variable results. The aim of this retrospective study was to analyze the clinical and radiographic outcome of the ILIZAROV technique in patients with high-energy pilon fractures. Thirty cases of distal tibia epiphysis fractures (pilon fractures) were managed from 1999 to 2012. The study group included 5 cases of open fractures. The mean age was 47 years. According to Rüedi and Algower classification; 11 fractures were type II, and 19 type III. All fractures were a consequence of high-energy trauma. Fractures of the lower fibula were present in 28 of the patients. An external Fixator was applied for open fractures. Closed injuries were operated on 3 to 13 days after injury, with an average of 8 days. The mean follow-up was 48 months. All fractures united. The external fixator was removed after a mean of 22 weeks (10 - 28 weeks). Two patients with a type III fracture had a delayed union and were treated with corticotomy and dynamisation of the ILIZAROV fixator. Only one secondary displacement of a type III fracture was noted after two months and was treated by adjuction of 2 olive wires. There were no cases of osteomyelitis or deep infections. Pin-tract infections occurred in ten patients. We had not any case of nervous injury due to introduction of the pins. Using radiological criteria for assessement of reduction of the articular fragments, there was excellent and good restoration of articular structure in 24 cases. The average American Orthopeadic Foot and Ankle Society ankle-hind foot score was excellent in 16, good in 6, fair in 6 and poor in 2. Soft tissue healing occurred without need for plastic surgery in all cases. The movements of the ankle ranged from 0 to 20° of dorsiflexion and 5° to 40° of plantar flexion. Twenty patients had gone back to their preinjury profession. The ILIZAROV technique is a safe and a very effective treatment for severe pilon fractures with minimum complications and good healing results.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Treatment of high-energy pilon fractures using the ILIZAROV treatment

Osman¹,

Alaya²,

Kaziz³

et al. 2017

Pan Afr Med J

View full text Add to dashboard Cite

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“…In the case of acute fractures and stable fixation, the goal of treatment is to process unity until the union, and the implant can then be removed. In patients with acute infections and unstable implants, treatment strategies are similar to supported nonunion cases, with the gradual agreement of the distal tibia [12], [20], [38].…”

Section: Complicationsmentioning

confidence: 98%

“…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%

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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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New minimally invasive view of tibial pilon fractures: Experience of the A4 orthopaedic traumatology department at CHU Ibn Rochd in Casablanca

Y. EL QADIRI,

O. EL ADAOUI,

Y. SBIHI

et al. 2024

World J. Adv. Res. Rev.

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Tibial pilon fractures are rare and serious fractures, given their complexity and therapeutic difficulty. Closed-focus osteosynthesis is an interesting alternative for treating these fractures. In order to assess the clinical and radiological results of treating tibial pilon fractures with closed-focus osteosynthesis, we conducted a retrospective descriptive study of a series of 80 tibial pilon fractures treated at the Traumatology-Orthopedics Department A4 of CHU Ibn Rochd in Casablanca, over a period from January 2017 to December 2022. The mean age in our study was 42.5 years, with a M/F sex ratio equal to 3. Etiological circumstances were dominated by high-energy mechanisms, including falls from a high place in 43% and MVAs in 42% of cases. Clinical diagnosis was guided in 100% of cases by functional impotence, pain and localized swelling. We performed an ankle radiograph in front and side views, complemented by a CT scan, in all our patients to confirm the diagnosis and classify the different fracture types. Surgical treatment with closed-focus osteosynthesis was performed by combined treatment in 50% of cases; external fixator in 20% of cases; and minimally invasive treatment under arthroscopy in 30% of cases. According to CAFFINIERE criteria, functional and radiological results were good and satisfactory in 80.57% of cases, and poor in 19.43%. Complications included algodystrophy in 28.75% of cases, infection in 10%, joint stiffness in 13.75%, pseudarthrosis in 11.25%, arthrosis in 11.25% and callus in 7.5%. Finally, analysis of our results showed that the majority of our patients treated with closed-focus osteosynthesis had good functional, clinical and radiological results, demonstrating the effectiveness of this surgical method in tibial pilon fractures.

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Hybrid external fixation via a minimally invasive method for tibial pilon fractures - Technical note

Cited by 3 publications

References 19 publications

Treatment of high-energy pilon fractures using the ILIZAROV treatment

Treatment of high-energy pilon fractures using the ILIZAROV treatment

A Current Concepts Update in Pilon Fracture Management

New minimally invasive view of tibial pilon fractures: Experience of the A4 orthopaedic traumatology department at CHU Ibn Rochd in Casablanca

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