Management of intraarticular proximal interphalangeal joint fracture-dislocations and pilon fractures with the Ligamentotaxor® device

Mabvuure, Nigel Tapiwa; Pinto-Lopes, Rui; Sierakowski, Adam

doi:10.1007/s00402-020-03482-8

Cited by 5 publications

(2 citation statements)

References 28 publications

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“…We identified use of type III incision as a significant risk factor for postoperative infection. This may likely be due to the larger exposed area with this incision type, which improves the visual field of fracture reduction and internal fixation but also increases exposure to bacteria[ 16 - 19 ].…”

Section: Discussionmentioning

confidence: 99%

Identification of risk factors for surgical site infection after type II and type III tibial pilon fracture surgery

Hu¹,

Zhang²,

Xie³

et al. 2022

WJCC

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BACKGROUND High-energy tibial pilon fractures are complex and severe fractures that are associated with a high risk of infection following open reduction and internal fixation. Infection can negatively impact patient outcomes. AIM To compare risk factors for postoperative infection after open reduction and internal fixation for a pilon fracture. METHODS Among the 137 patients included, 67 developed a surgical site infection. Demographic, clinical, and surgical factors were compared between the two groups. A binary logistic regression analysis was used to determine the odds ratio (OR) and corresponding 95%CI for significant risk factors for postoperative infection. RESULTS The distribution of pathogenic bacteria among the 67 patients who developed a surgical site infection was as follows: Gram-positive, 58.2% ( n = 39); Gram-negative, 38.8% ( n = 26); and fungal, 2.9% ( n = 2). The following factors were associated with postoperative infection ( P < 0.05): a Ruedi–Allgower pilon fracture type III (OR = 2.034; 95%CI: 1.109–3.738); a type III surgical incision (OR = 1.840; 95%CI: 1.177–2.877); wound contamination (OR = 2.280; 95%CI: 1.378–3.772); and diabetes as a comorbidity (OR = 3.196; 95%CI: 1.209–8.450). CONCLUSION Infection prevention for patients with a Ruedi–Allgower fracture type III, surgical incision type III, wound contamination, and diabetes lowers the postoperative infection risk after surgical management of tibial pilon fractures.

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Section: Discussionmentioning

confidence: 99%

Identification of risk factors for surgical site infection after type II and type III tibial pilon fracture surgery

Hu¹,

Zhang²,

Xie³

et al. 2022

WJCC

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show abstract

“…The reduction of comminuted articular fractures places high demands on the surgeon’s surgical skills. In addition, complex pilon fractures suggest high-energy injury, accompanied by increased complications such as infection, marginal necrosis, or poor wound healing [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Early Reduction of the Posterior Column: A Surgical Technique in AO/OTA C3 Tibial Pilon Fractures

Gao

Zhu

Guo

et al. 2023

JPM

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Staged treatment for pilon fractures is widely accepted. It remains to be discussed how to reduce and fix posterior column fractures while avoiding clinical complications. We provided a staged treatment protocol with detailed surgical techniques for closed AO Foundation/Orthopaedic Trauma Association (AO/OTA) C3 tibial pilon fractures with fibular fractures. In the first stage, the internal fixation of the fibula and distal tibial posterior column is accompanied by an external fixator. After swelling, the medial and anterior columns were fixed via the posteromedial approach in the second stage. We advocate early reduction and fixation of the posterior column and lateral column. The right timing of surgery can ensure well-reduced articular surface and alignment while minimizing soft tissue complications.

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Data Enhancement for Deep Learning-Based Wrist Fracture Detection

Huang

Sun

Zhang

et al. 2021

Lecture Notes in Electrical Engineering

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Management of intraarticular proximal interphalangeal joint fracture-dislocations and pilon fractures with the Ligamentotaxor® device

Cited by 5 publications

References 28 publications

Identification of risk factors for surgical site infection after type II and type III tibial pilon fracture surgery

Identification of risk factors for surgical site infection after type II and type III tibial pilon fracture surgery

Early Reduction of the Posterior Column: A Surgical Technique in AO/OTA C3 Tibial Pilon Fractures

Data Enhancement for Deep Learning-Based Wrist Fracture Detection

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