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Related Experiment Videos

Unilateral external fixation for severe pilon fractures

S K Bonar1, J L Marsh

  • 1Department of Orthopaedics, University of Iowa Hospitals and Clinics, Iowa City 52242.

Foot & Ankle
|February 1, 1993
PubMed
Summary

Unilateral large screw external fixation effectively treated severe tibial plafond fractures, showing good healing rates and low complication risks. This method offers a promising approach for complex ankle injuries.

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Syndesmosis Malposition Assessed on Weight-Bearing CT Is Common After Operative Fixation of Intra-articular Distal Tibia Plafond Fracture.

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Area of Science:

  • Orthopedic Surgery
  • Traumatology

Background:

  • Severe tibial plafond fractures present significant treatment challenges.
  • Minimally invasive techniques are sought to reduce complications in this vulnerable area.

Purpose of the Study:

  • To evaluate the efficacy and safety of unilateral large screw external fixation for severe tibial plafond fractures.
  • To assess complication rates and healing outcomes in patients treated with this technique.

Main Methods:

  • Twenty-one patients with severe tibial plafond fractures underwent unilateral large screw external fixation.
  • Fifteen patients also received limited internal fixation.
  • Fractures were classified using Ovadia and Beals, and Rüedi and Allgöwer systems.

Main Results:

  • All fractures healed except for four requiring ankle arthrodesis and one amputation.
  • No cases of wound infection, skin slough, or osteomyelitis were reported.
  • Large screw external fixation demonstrated no significant early or late complications.

Conclusions:

  • Unilateral large screw external fixation is a safe and effective treatment for severe tibial plafond fractures.
  • The minimally invasive nature of this technique may contribute to lower rates of infection and nonunion.
  • This approach is associated with favorable outcomes in a challenging fracture pattern.

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