The early management of severe tibial pilon fractures using a temporary ring fixator

Mockford, B J; Ogonda, Luke; Warnock, D.; Barr, Rebecca; Andrews, C.

doi:10.1016/s1479-666x(03)80125-7

Cited by 22 publications

(22 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[6,7] external fixation. [8,9] open reduction and internal fixation using plates, staged open reduction, [10][11][12][13] Intramedullary nailing, [14,15] and minimally invasive percutaneous plate osteosynthesis using a locking plate. Distal tibia has got circular cross sectional area with thinner cortex as compare to triangular diaphysis with thicker cortex.…”

Section: Duration Of Fracture Unionmentioning

confidence: 99%

Management of Distal Tibial Pilon Fracture with MIPPO

Prakash¹,

Kishore²,

Reddy³

et al. 2017

Ann. Int. Med. Den. Res.

View full text Add to dashboard Cite

Variations in the arterial pattern of the upper limb are very common as observed in many cadaveric and angiographic studies. Knowledge of variations in the origin and course of the radial artery is important because they are used for many diagnostic procedures as well as vascular and reconstructive surgeries like coronary angiography, percutaneous coronary intervention and coronary artery bypass surgery. During routine dissection in our institute, we observed a case of high origin of the radial artery in a 33 year old male cadaver. It was found to be unilateral; on left side, radial artery was taking origin from 3 rd part of the axillary artery at the lower border of pectoralis minor before the origin of subscapular artery and anterior circumflex humeral artery. It had a superficial course in the arm crossing the median nerve from medial to lateral side. The further course of this superficial radial artery in the forearm was normal and it terminated by forming a deep Palmar arch in hand. These variations may be of great clinical implications for vascular and plastic surgeons and radiologists. Superficial course of radial artery makes it vulnerable to accidental injuries.

show abstract

Section: Duration Of Fracture Unionmentioning

confidence: 99%

Management of Distal Tibial Pilon Fracture with MIPPO

Prakash¹,

Kishore²,

Reddy³

et al. 2017

Ann. Int. Med. Den. Res.

View full text Add to dashboard Cite

show abstract

“…Main aim of management is to provide stable fixation of fracture, prevention of further soft tissue damage, infection, nonunion and wound dehiscence [53] . When soft tissue damage is significant, bridging external fixator is considered as superior option as it decreases the excessive soft tissue stripping and provides a temporary stable fixation to skeletal component.…”

Section: Discussionmentioning

confidence: 99%

“…Wound debridement, antibiotics, skin grafting, myocutaneous flap and even arthrodesis have a role to play in management [54] . Studies using external fixation techniques reported significant reduction in infection rates [53,60,61] . The rate of infection is drastically decreased with the use of minimmaly invasive percutaneous plate osteosynthesis (MIPPO) in comparison with external fixator and ORIF [53,62] .…”

Section: Discussionmentioning

confidence: 99%

“…Studies using external fixation techniques reported significant reduction in infection rates [53,60,61] . The rate of infection is drastically decreased with the use of minimmaly invasive percutaneous plate osteosynthesis (MIPPO) in comparison with external fixator and ORIF [53,62] . This is reflected in our results, with only two cases of superficial wound infection, which completely resolved with appropriate antibiotics.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical management of distal tibia fracture by mippo using locking compression plate

Chandar¹,

Harish²,

R³

et al. 2017

Int. J. Orthop. Sci.

View full text Add to dashboard Cite

Introduction:The following study was conducted to examine the short term clinical and radiological results particularly early complications and healing rate of distal tibia fracture treated by MIPPO using LCP. Methodology: The study was conducted in patients treated for distal tibia fracture (type A, B & C -AO classification) at Adichunchanagiri Institute of Medical Science, BG Nagar from the month of Nov 2013 to Nov 2015. Twenty distal tibia fracture patients were taken into the study, all were fixed with LCP by mippo, some with Bone grafting where the distal tibia fractures were associated with bone loss and communition. Patients' age ranged from 27 to 68 years with a mean of 50. Results: The sample consisted of twenty patients with 11 males and 09 were female. The patients' ages ranged from 27-68 years with a mean age of 50 years. The causes of fractures were motorvehicle accident in 13 patients and fall in 07 patients. There were no sports or industrial accidents. 12 fractures involved the right side and 08 involved the left. The average length of hospitalisation was 15 days with a range of 10 to 20 days. The average number of days from injury to surgery was 5 days with a range of 2 to 10 days. The operative time ranged from 45 minutes to 120 minutes. Patients were followed up from 01 to 24 months. Functional outcome was rated as per The modified ankle score of Olerud and Molander, we got excellent results in 10 cases, good in 07, fair in 02 and poor in one patient. Conclusion:The LCP is a good implant to use for fractures of the distal tibia by mippo method. However, accurate positioning and fixation are required to produce satisfactory results. We recommend use of this implant in Type A, B and C, osteoporotic fractures. Our early results were encouraging but long term studies are needed to prove definitively acceptable outcomes so that the technique can become part of the armamentarium of the orthopaedic trauma surgeon.

show abstract

“…Half frames have been described for use in assisting tibial nailing. 3,6,[8][9][10][11] To enable application of a circular frame, the skeletal traction device must not prevent circumferential access or impede circular or longitudinal components of the frame. The technique described is suitable for most of our cases, but it remains possible that very large legs may not leave sufficient room and the 240-mm rings are the largest of which we are aware.…”

Section: Discussionmentioning

confidence: 99%