The results of two-staged operative management of pilon fractures–a review of 25 cases

Cheema, Gursimrat Singh; Arora, Sumit; Sabat, Dhananjaya; Singla, Jatinder; Goel, Navneet; Maini, Lalit

doi:10.1016/s0976-5662(11)60053-2

Cited by 9 publications

(9 citation statements)

References 24 publications

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“…In the ankle and foot injuries management, the external fixation can be used for a wide range of clinical applications such as to treat fractures, deformities and dislocations pathological problem [3,7,24,53]. However, some ankle fractures treatment involves initial closed reduction and stabilization of the injury by external fixation followed by delayed internal fixation [67,68].…”

Section: Clinical Applications and Resultsmentioning

confidence: 99%

“…For the uniplanar external fixator, this only involves one or two rods that constructed with some number of clamps and pins. From previous published literature, the unilateral frame often used in treating subtalar dislocation and pilon fractures [3,24]. Unlike the unilateral, multiplanar is a combination of two or more planar used in the construct [46,50,51].…”

Section: General Features Of the External Fixator Configurationsmentioning

confidence: 99%

“…The pin placement, configuration and material of the external fixator construct should be considered before any surgery can be conducted. This goal is to maintain and align hindfoot to leg relationship, and to properly fixed the ankle bone and stabilize the affected joints [3,24]. The faulty biomechanics that result have a significant role in osseous and ligamentous breakdown [5].…”

Section: Overall Construct Stabilitymentioning

confidence: 99%

“…In addition, the management of severe injuries to the ankle and foot with external fixator is proven to be minimally invasive. This can further reducing devascularisation [22] and helps maintain alignment [3,23,24] and maintain stability of the ankle joint [2,[25][26][27].…”

Section: Introductionmentioning

confidence: 99%

“…When doctors often use the correct fundamental of biomechanics, it can reduce some complications during the treatment [1,28,29]. To be noted, the maintenance of the external fixator alignment with early soft tissue coverage and allows early bone healing [3,24]. Furthermore, the external fixator can provide stability, simple and also allow soft tissue management in good access, however the fundamental of position and pin placement should be understood well [2,25].…”

Section: Introductionmentioning

confidence: 99%

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The use of external fixator for ankle and foot injuries management-a review on biomechanical perspective

Ramlee¹,

Derus²

2016

Med Devices Diagn Eng

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Current clinical services are very struggling to assist the most favourable treatment for ankle and foot injuries. Therefore, this inspired researchers and engineering to investigate and explore the important of biomechanical behaviour of an external fixator. However, the understanding on biomechanical of the external fixator is important point as it can contribute to the success of injuries treatment. This review article discusses an overview of the external fixator for ankle and foot injuries management. First and foremost, this paper addresses general features of the external fixator that includes configurations, materials used and overall construct stability. In addition, we also reviewed the use of external fixator in clinical applications. In conclusion, this report suggests some recommendation for future biomechanical studies in order to provide valuable information for researchers and medical experts.

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Section: Clinical Applications and Resultsmentioning

confidence: 99%

Section: General Features Of the External Fixator Configurationsmentioning

confidence: 99%

Section: Overall Construct Stabilitymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The use of external fixator for ankle and foot injuries management-a review on biomechanical perspective

Ramlee¹,

Derus²

2016

Med Devices Diagn Eng

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Pilon Fractures

Attum¹,

Gajari²,

Barei³

et al. 2018

Orthopedic Traumatology

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Biomechanical features of six design of the delta external fixator for treating Pilon fracture: a finite element study

Ramlee

Sulong

García-Nieto

et al. 2018

Med Biol Eng Comput

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Pilon fractures can be caused by high-energy vertical forces which may result in long-term patient immobilization. Many experts in orthopedic surgery recommend the use of a Delta external fixator for type III Pilon fracture treatment. This device can promote immediate healing of fractured bone, minimizing the rate of complications as well as allowing early mobilization. The characteristics of different types of the Delta frame have not been demonstrated yet. By using the finite element method, this study was conducted to determine the biomechanical characteristics of six different configurations (Model 1 until Model 6). CT images from the lower limb of a healthy human were used to reconstruct three-dimensional models of foot and ankle bones. All bones were assigned with isotropic material properties and the cartilages were assigned to exhibit hyperelasticity. A linear link was used to simulate 37 ligaments at the ankle joint. Axial loads of 70 and 350 N were applied at the proximal tibia to simulate the stance and swing phase. The metatarsals and calcaneus were fixed distally in order to prevent rigid body motion. A synthetic ankle bone was used to validate the finite element model. The simulated results showed that Delta3 produced the highest relative micromovement (0.09 mm, 7 μm) during the stance and swing phase, respectively. The highest equivalent von Mises stress was found at the calcaneus pin of the Delta4 (423.2 MPa) as compared to others. In conclusion, Delta1 external fixator was the most favorable option for type III Pilon fracture treatment. Graphical abstract ᅟ.

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The results of two-staged operative management of pilon fractures–a review of 25 cases

Cited by 9 publications

References 24 publications

The use of external fixator for ankle and foot injuries management-a review on biomechanical perspective

The use of external fixator for ankle and foot injuries management-a review on biomechanical perspective

Pilon Fractures

Biomechanical features of six design of the delta external fixator for treating Pilon fracture: a finite element study

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