Open reduction in pilon variant posterior malleolar fractures: Radiological and clinical evaluation

Sukur, Erhan; Akman, Yunus Emre; Gökcen, H. Bahadır; Ozyurek, E.C.; Senel, Ahmet Can; Öztürkmen, Yusuf

doi:10.1016/j.otsr.2017.05.012

Cited by 22 publications

(13 citation statements)

References 28 publications

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“…Ten patients with PPFs treated with BPs by Chen achieved satisfactory clinical results during an average follow-up of 36.2 months. [15] Sukur [3] treated 14 cases of PPF; 3 cases were fixed with BPs, and 11 cases were fixed with PASs. All patients exhibited satisfactory reduction, and Sukur therefore believed that PASs can also stabilize PPF fixation.…”

Section: Discussionmentioning

confidence: 99%

“…Through the ankle joint anterior incision (1-2 cm), Kirschner wires were inserted from anterior to posterior to temporarily fix the posterior fracture block. After satisfactory reduction under fluoroscopy, cannulated screws (2)(3) were inserted along the Kirschner wire with, care to avoid irritating the soft tissues behind the ankle joint with screws that were too long. If the patient was also had a posteromedial fracture block, the APSs could not be fixed effectively.…”

Section: Aps Groupmentioning

confidence: 99%

“…A posterior malleolar fracture is involved in 7%-50% of ankle fractures. [1][2][3][4] For the first time in 1996, Huber [5] called a coronal fracture of the posterior malleolus with talus displacement a "trimalleolar pilon fracture". In 2000, Henson [6] proposed the concept of "posterior pilon" fracture (PPF), which is a coronal fracture of the posterior malleolus as well as displacement of the posterior malleolus fracture fragment to the proximal end, with possible talus dislocation and articular cartilage injury.…”

Section: Introductionmentioning

confidence: 99%

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Comparison between buttress plate and anteroposterior screw internal fixation for posterior pilon fracture: a retrospective study

Zhang

liu

wang

et al. 2020

Preprint

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Background Posterior pilon fracture (PPF) is a serious ankle injury caused by combined vertical and rotational trauma. Surgical treatment includes buttress plate (BP), anteroposterior screw (APS) and posteroanterior screw (PAS) fixation. This study aimed to compare the therapeutic effects after PPF internal fixation with BPs and APSs. Methods From January 2015 to June 2018, 37 patients with PPFs underwent surgical treatment in our institution. The patients were divided into the BP (11 patients) and APS (26 patients) groups according to the internal fixation method. Bone healing time and postoperative complications were recorded. At the last follow-up, American Orthopedic Foot and Ankle Society (AOFAS) scores, visual analog scale (VAS) scores and Burwell-Charnley scores were used to evaluate ankle joint function, ankle joint pain, and fracture reduction on imaging, respectively. Results No significant difference in bone healing time was found between the two groups ( P > 0.05). Local necrosis of the posterolateral incision and chronic ankle pain occurred in 1 case each in the BP group. Chronic ankle joint pain occurred in 4 cases in the APS group. Two cases of soft tissue irritation were caused by screws that were too long. Local numbness of the posterolateral incision occurred in 1 case. At the last follow-up, no significant difference in VAS scores between the two groups at rest ( P = 0.477), but a significant difference during exercise was noted ( P = 0.033). AOFAS scores were better in the BP group than those in the APS group ( P = 0.002). According to the Burwell-Charnley scoring system, 11 cases were anatomically reduced in the BP group. In the APS group, anatomical reduction was achieved in 19 cases and fair in 7 cases. Conclusion Compared with APSs, BPs resulted in better reduction, ankle joint functional recovery and complication rates. BPs are recommended for internal fixation of PPFs.

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Section: Discussionmentioning

confidence: 99%

Section: Aps Groupmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison between buttress plate and anteroposterior screw internal fixation for posterior pilon fracture: a retrospective study

Zhang

liu

wang

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Ten patients with PPFs treated with BPs by Chen achieved satisfactory clinical results during an average follow-up of 36.2 months. [15] Sukur [3] treated 14 cases of PPF; 3 cases were xed with BPs, and 11 cases were xed with PASs. All patients exhibited satisfactory reduction, and Sukur therefore believed that PASs can also stabilize PPF xation.…”

Section: Discussionmentioning

confidence: 99%

“…A posterior malleolar fracture is involved in 7%-50% of ankle fractures. [1][2][3][4] For the rst time in 1996, Huber [5] called a coronal fracture of the posterior malleolus with talus displacement a "trimalleolar pilon fracture". In 2000, Henson [6] proposed the concept of "posterior pilon" fracture (PPF), which is a coronal fracture of the posterior malleolus as well as displacement of the posterior malleolus fracture fragment to the proximal end, with possible talus dislocation and articular cartilage injury.…”

Section: Introductionmentioning

confidence: 99%

Comparison between buttress plate and anteroposterior screw internal fixation for posterior pilon fracture: a retrospective study

Zhang

liu

wang

et al. 2020

Preprint

View full text Add to dashboard Cite

Abstract Background: Posterior pilon fracture (PPF) is a serious ankle injury caused by combined vertical and rotational trauma. Surgical treatment includes buttress plate (BP), anteroposterior screw (APS) and posteroanterior screw (PAS) fixation. This study aimed to compare the therapeutic effects after PPF internal fixation with BPs and APSs. Methods: From January 2015 to June 2018, 37 patients with PPFs underwent surgical treatment in our institution. The patients were divided into the BP (11 patients) and APS (26 patients) groups according to the internal fixation method. Bone healing time and postoperative complications were recorded. At the last follow-up, American Orthopedic Foot and Ankle Society (AOFAS) scores, visual analog scale (VAS) scores and Burwell-Charnley scores were used to evaluate ankle joint function, ankle joint pain, and fracture reduction on imaging, respectively. Results: No significant difference in bone healing time was found between the two groups (P > 0.05). Local necrosis of the posterolateral incision and chronic ankle pain occurred in 1 case each in the BP group. Chronic ankle joint pain occurred in 4 cases in the APS group. Two cases of soft tissue irritation were caused by screws that were too long. Local numbness of the posterolateral incision occurred in 1 case. At the last follow-up, no significant difference in VAS scores between the two groups at rest (P = 0.477), but a significant difference during exercise was noted (P = 0.033). AOFAS scores were better in the BP group than those in the APS group (P = 0.002). According to the Burwell-Charnley scoring system, 11 cases were anatomically reduced in the BP group. In the APS group, anatomical reduction was achieved in 19 cases and fair in 7 cases. Conclusion: Compared with APSs, BPs resulted in better reduction, ankle joint functional recovery and complication rates. BPs are recommended for internal fixation of PPFs.

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Open reduction and internal fixation for posterior pilon fracture: Transfibular approach versus posterior approach

Gan

Li²,

Chen³

et al. 2023

Injury

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Open reduction in pilon variant posterior malleolar fractures: Radiological and clinical evaluation

Abstract: Level IV. Retrospective study.

Cited by 22 publications

References 28 publications

Comparison between buttress plate and anteroposterior screw internal fixation for posterior pilon fracture: a retrospective study

Comparison between buttress plate and anteroposterior screw internal fixation for posterior pilon fracture: a retrospective study

Comparison between buttress plate and anteroposterior screw internal fixation for posterior pilon fracture: a retrospective study

Open reduction and internal fixation for posterior pilon fracture: Transfibular approach versus posterior approach

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