Journal article
Use of an articulated external fixator for fractures of the tibial plafond
Journal of bone and joint surgery. American volume, Vol.77(10), pp.1498-1509
1995
DOI: 10.2106/00004623-199510000-00004
PMID: 7593058
Abstract
We performed a prospective study of forty-nine displaced fractures of the tibial plafond in forty-eight patients managed, at three centers, with an articulated external fixator placed medially across the ankle joint. Forty ankles had interfragmental screw fixation of a reduced articular fracture, and fourteen ankles had bone-grafting. The average duration of external fixation was twelve weeks. All of the fractures healed (one after delayed bone-grafting). There were no infections in any of the operative or traumatic wounds over the tibia. Two wound infections over the fibula resolved with treatment. Eight patients were managed with antibiotics for a pin-site infection, and two patients had curettage and débridement of a pin site in the hindfoot after removal of the fixator. Thirty patients (thirty-one ankles) completed two-year data sheets at an average of thirty months after the injury. The average ankle score was 67 points. Twenty-one patients had grade-0 or 1 osteoarthrosis and nine had grade-2 or 3. One ankle had been treated with an arthrodesis. These data suggest that the prevalence of early complications associated with severe fractures of the tibial plafond and their treatment can be decreased with use of an articulated external fixator combined with limited internal fixation. We concluded that this technique of external fixation is a satisfactory technique for the treatment of these fractures.
Details
- Title: Subtitle
- Use of an articulated external fixator for fractures of the tibial plafond
- Creators
- J. L MARSH - Univ. Iowa hosp. clin., dep. orthopaedics, Iowa City IA 52242, United StatesS BONAR - Univ. Iowa hosp. clin., dep. orthopaedics, Iowa City IA 52242, United StatesJ. V NEPOLA - Univ. Iowa hosp. clin., dep. orthopaedics, Iowa City IA 52242, United StatesT. A DECOSTER - Univ. Iowa hosp. clin., dep. orthopaedics, Iowa City IA 52242, United StatesS. R HURWITZ - Univ. Iowa hosp. clin., dep. orthopaedics, Iowa City IA 52242, United States
- Resource Type
- Journal article
- Publication Details
- Journal of bone and joint surgery. American volume, Vol.77(10), pp.1498-1509
- DOI
- 10.2106/00004623-199510000-00004
- PMID
- 7593058
- NLM abbreviation
- J Bone Joint Surg Am
- ISSN
- 0021-9355
- eISSN
- 1535-1386
- Publisher
- Journal of Bone and Joint Surgery Incorporated; Boston, MA
- Language
- English
- Date published
- 1995
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984040251502771
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