Journal article
Unilateral External Fixation for Severe Pilon Fractures
Foot & ankle international, Vol.14(2), pp.57-64
02/1993
DOI: 10.1177/107110079301400201
PMID: 8454235
Abstract
Twenty-one patients with severe tibial plafond fractures were treated by unilateral large screw external fixation. In 15 patients, this was combined with limited internal fixation. The fractures were classified according to the methods of Ovadia and Beals.
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There were nine type lll, four type IV, and eight type V fractures, and according to the methods of Rüedi and Allgöwer, nine type II and 12 type III fractures. Seven fractures were open.
In five fractures, no attempt was made at articular reconstruction due to severe comminution. Four of these fractures required ankle arthrodeses and one type IIIB fracture received a late amputation. All other fractures healed. There were no cases of wound infection, skin slough, or osteomyelitis. Large screw external fixation in the talus and calcaneus was not associated with significant early or late complications. The less extensive tissue dissection in an area prone to wound complications may account for the low rates of infections, wound complications, and nonunion.
Details
- Title: Subtitle
- Unilateral External Fixation for Severe Pilon Fractures
- Creators
- Susan K Bonar - Resident, Department of Orthopaedics, University of Iowa Hospitals and Clinics, Iowa City, IowaJ. Lawrence Marsh - Associate Professor, Department of Orthopaedics, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242
- Resource Type
- Journal article
- Publication Details
- Foot & ankle international, Vol.14(2), pp.57-64
- Publisher
- SAGE Publications; Los Angeles, CA
- DOI
- 10.1177/107110079301400201
- PMID
- 8454235
- ISSN
- 1071-1007
- eISSN
- 1944-7876
- Language
- English
- Date published
- 02/1993
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984040544802771
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