Fixation of pilon Fracture & Comminuted distal tibial fracture with Triangular External fixator

Document Type : Original Article

Authors

Department of Orthpaedic and Traumatology , Faculty of Medicine, Sohag University.

Abstract

Back ground : patients with pilon fractures and distal comminuted fractures, These fractures give the surgeon a great challenge In methods of fixation starting from External fixator up to platting and Illizarov But our method of fixation which Is Triangular External fixator acheive a great success.

References

  1. Teeny S, Wiss DA. Open reduction and internal fixation of tibial plafond fractures. ClinOrthop. 1993;292:108-17.
  2. Ovaida DN, Beals RK. Fractures of the tibial plafond. J Bone Joint Surg. 1986;68-A:453-551.
  3. Bourne RB. Pilon fractures of the distal tibia. ClinOrthop. 1989;240:42-6.
  4. Wyrsch B, McFerran M, McAndrew M. Operative treatment of fractures of the tibial plafond. A randomized prospective study. J Bone Joint Surg. 1996;78-A:1646-57.
  5. Barbieri R, Schenk R, Koval K. Hybrid external fixation in the treatment of tibial plafond fractures. ClinOrthop. 1996;332:16-22.
  6. Marsh JL, Bonar S, Nepola JV. Use of an articulated external fixator for fractures of the tibial plafond. J Bone Joint Surg. 1995;77-A:1498-509.
  7. Bone L, Stegemann P, McNamara K. External fixation of severely comminuted and open tibialpilonfracures. ClinOrthop. 1993;292:101-7.
  8. Marsh JL, Weigel DP, Dirschl DR. Tibial plafond fractures: how do these ankles function over time? J Bone Joint Surg. 2003;85-A:287-95.
  9. Tornetta P, Weiner L, Bergman M. Pilon fractures: treatment with combined internal and external fixation. J Orthop Trauma. 1993;7:489-96.
  10. Haidukewych GJ. Temporary external fixation for the management of complex intra-and periarticular fractures of the lower extremity. J Orthop Trauma. 2002;11:678-85.
  11. Patterson MJ, Cole DJ. Two-staged delayed open reduction and internal fixation of severe pilon fractures. J Orthop Trauma. 1999;2:85-91.
  12. Sirkin M, Sanders R, DiPasquale T, Herscovici D. A staged protocol for soft tissue management in the treatment of complex pilon fractures. J Orthop Trauma. 1999;2:78-84.
  13. Koval KJ, Clapper MF, Brumback RJ. Complications of reamed intramedullary nailing of the tibia. J Orthop Trauma. 1991;5:184-9.
  14. Robinson CM, McLauchlan GJ, McLean IP, Court-Brown CM. Distal metaphyseal fractures of the tibia with minimal involvement of the ankle. Classification and treatment by locked intramedullary nailing. J Bone Joint Surg Br. 1995;77:781-7.
  15. Mazur JM, Schwartz E, Sheldon RS. Ankle arthrodesis: Long-term follow-up with gait analysis. J Bone Joint Surg. 1979;61-A:964-75.
  16. Ruedi TP, Allgower M. The operative treatment of intraarticular fractures of the lower end of the tibia. ClinOrthop. 1979;138:105-10.
  17. Etter G, Ganz R. Long-term results of tibial plafond fractures treated with open reduction and internal fixation. Arch Orthop Trauma Surg. 1991;110:277-83.
  18. Mcferran M, Smith S, Boulas HJ. Complications encountered in the treatment of pilon fractures. J Orthop Trauma. 1992; 6:195-200.
  19. Marsh JL, Mueling V, Dirschl DR, Hurwitz S, Brown TD, Nepola J. Tibial plafond fracture: Articulated external fixation with and without motion similar, J Orthop Trauma. 2006;20(8):536-41.
  20. Okcu G, Aktuglu K. Intra-articular fractures of the tibial plafond a comparison of the results using articulated and ring external fixators. J Bone Joint Surg. 2004;86-B:868-75.
  21. Kapukaya A, Subasi M, Arslan H. Management of comminuted closed tibial plafond fractures using circular external fixators. ActaOrthop Belg. 2005;71:582-9.
  22. Antoci V, Voor MJ, Seligson D, Roberts CS. Biomechanics of external fixation of distal tibial extra-articular fractures: is spanning the ankle with a foot plate desirable? J Orthop Trauma. 2004;18(10):665-73.
  23. Pugh KJ, Wolinsky PR, McAndrew PM, Johnson KD. Tibialpilon fractures: a comparison of treatment methods. J Trauma. 1999;47:937-42.
  24. Leung KL, Kwok HY, Pun TS, Chow SP. Open reduction and Ilizarov external fixation in the treatment of distal tibial fractures Injury. 2004;35:278-83.
  25. Varsalona R, Liu GT. Fibular fixation in distal tibial metaphyseal fractures. Strat Traum Limb Recon. 2006;1:42-50.
Sohag Medical Journal
Volume 22, Issue 1
January 2018
Pages 137-141

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