A Prospective Study on Functional Outcome of Internal Fixation of Tibial Pilon Fractures with Locking Plate using Minimally Invasive Plate Osteosynthesis Technique
Introduction: Managing pilon fractures is still a great challenge for surgeons in terms of reduction and fixation. The soft tissue anatomy and the bony configuration, results in angular and rotational instability and other bony and soft tissue complications. Aim: To evaluate the results of mini...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2016-01-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/7013/15284_CE[Ra1]_F(AK)_PF1(EKAK)_PFA(AK)_PF2(PAG).pdf |
| _version_ | 1818643479117430784 |
|---|---|
| author | Arjun Ballal H. Ravindranath Rai Siddharth M Shetty Lawrence John Mathias Vikram Shetty Ashwin Shetty |
| author_facet | Arjun Ballal H. Ravindranath Rai Siddharth M Shetty Lawrence John Mathias Vikram Shetty Ashwin Shetty |
| author_sort | Arjun Ballal |
| collection | DOAJ |
| description | Introduction: Managing pilon fractures is still a great challenge
for surgeons in terms of reduction and fixation. The soft
tissue anatomy and the bony configuration, results in angular
and rotational instability and other bony and soft tissue
complications.
Aim: To evaluate the results of minimally invasive plate
osteosynthesis using locking plates in management of fractures
of tibial pilon in terms of radiological fracture union, restoration
of ankle function and complications.
Materials and Methods: A total of 18 patients with Ruedi
Allgower class I,II& III fresh pilon fractures were taken into
this study. All the patients underwent ankle spanning external
fixator application on the day of presentation as a first stage.
Wound debridement was done in patients with open fractures.
Associated distal fibula fractures were fixed in the first stage.
The second stage comprised of a definitive plate fixation using
the minimally invasive plate osteosynthesis technique. This
employed minimal periosteal and soft tissue dissection through
a medial approach to the ankle. Postoperatively, all patients were
reviewed at week six and 12 when partial weight bearing and
full weight bearing mobilization was started respectively. The
final review was done at 24 weeks when the final assessment of
function was done as per the Mazur’s scoring criteria. Analyses
were done using frequency and proportions. Chi-square tests
were used to assess the test of association.
Results: Three patients had excellent inference, nine patients
had good inference, five patients had fair and one patient
had poor inference as per the Mazur’s scoring criteria. Two
patients had scar dehiscence as a complication and one patient
had a fixed equines deformity of the ankle who was under
RuediAllgower class III.
Conclusion: Minimally invasive plate osteosynthesis is an
excellent method of treating pilon fractures with very good
functional results and minimal complication rate. |
| first_indexed | 2024-12-16T23:59:36Z |
| format | Article |
| id | doaj.art-56638cd402c84d70a3eee3754ba27f06 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-16T23:59:36Z |
| publishDate | 2016-01-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-56638cd402c84d70a3eee3754ba27f062022-12-21T22:11:06ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-01-01101RC01RC0410.7860/JCDR/2016/15284.7013A Prospective Study on Functional Outcome of Internal Fixation of Tibial Pilon Fractures with Locking Plate using Minimally Invasive Plate Osteosynthesis TechniqueArjun Ballal0H. Ravindranath Rai1Siddharth M Shetty2Lawrence John Mathias3Vikram Shetty4Ashwin Shetty5Consultant Orthopaedic Surgeon, Department of Orthopaedic Surgery, Udupi, Karnataka, India.Professor and Head of the Department, Department of Orthopaedic Surgery, K.S. Hegde Medical Academy, Mangalore, Karnataka, India.Associate Professor, Department of Orthopaedic Surgery, K.S. Hegde Medical Academy, Mangalore, Karnataka, India.Professor, Department of Orthopaedic Surgery, K.S. Hegde Medical Academy, Mangalore, Karnataka, India.Associate Professor, Department of Orthopaedic Surgery, K.S. Hegde Medical Academy, Mangalore, Karnataka, India.Associate Professor, Department of Orthopaedic Surgery, K.S. Hegde Medical Academy, Mangalore, Karnataka, India.Introduction: Managing pilon fractures is still a great challenge for surgeons in terms of reduction and fixation. The soft tissue anatomy and the bony configuration, results in angular and rotational instability and other bony and soft tissue complications. Aim: To evaluate the results of minimally invasive plate osteosynthesis using locking plates in management of fractures of tibial pilon in terms of radiological fracture union, restoration of ankle function and complications. Materials and Methods: A total of 18 patients with Ruedi Allgower class I,II& III fresh pilon fractures were taken into this study. All the patients underwent ankle spanning external fixator application on the day of presentation as a first stage. Wound debridement was done in patients with open fractures. Associated distal fibula fractures were fixed in the first stage. The second stage comprised of a definitive plate fixation using the minimally invasive plate osteosynthesis technique. This employed minimal periosteal and soft tissue dissection through a medial approach to the ankle. Postoperatively, all patients were reviewed at week six and 12 when partial weight bearing and full weight bearing mobilization was started respectively. The final review was done at 24 weeks when the final assessment of function was done as per the Mazur’s scoring criteria. Analyses were done using frequency and proportions. Chi-square tests were used to assess the test of association. Results: Three patients had excellent inference, nine patients had good inference, five patients had fair and one patient had poor inference as per the Mazur’s scoring criteria. Two patients had scar dehiscence as a complication and one patient had a fixed equines deformity of the ankle who was under RuediAllgower class III. Conclusion: Minimally invasive plate osteosynthesis is an excellent method of treating pilon fractures with very good functional results and minimal complication rate.https://jcdr.net/articles/PDF/7013/15284_CE[Ra1]_F(AK)_PF1(EKAK)_PFA(AK)_PF2(PAG).pdfbiological fixationexternal fixatorintra-articularmazur’s criteriaruedi allgower |
| spellingShingle | Arjun Ballal H. Ravindranath Rai Siddharth M Shetty Lawrence John Mathias Vikram Shetty Ashwin Shetty A Prospective Study on Functional Outcome of Internal Fixation of Tibial Pilon Fractures with Locking Plate using Minimally Invasive Plate Osteosynthesis Technique Journal of Clinical and Diagnostic Research biological fixation external fixator intra-articular mazur’s criteria ruedi allgower |
| title | A Prospective Study on Functional Outcome of Internal Fixation of Tibial Pilon Fractures with Locking Plate using Minimally Invasive Plate Osteosynthesis Technique |
| title_full | A Prospective Study on Functional Outcome of Internal Fixation of Tibial Pilon Fractures with Locking Plate using Minimally Invasive Plate Osteosynthesis Technique |
| title_fullStr | A Prospective Study on Functional Outcome of Internal Fixation of Tibial Pilon Fractures with Locking Plate using Minimally Invasive Plate Osteosynthesis Technique |
| title_full_unstemmed | A Prospective Study on Functional Outcome of Internal Fixation of Tibial Pilon Fractures with Locking Plate using Minimally Invasive Plate Osteosynthesis Technique |
| title_short | A Prospective Study on Functional Outcome of Internal Fixation of Tibial Pilon Fractures with Locking Plate using Minimally Invasive Plate Osteosynthesis Technique |
| title_sort | prospective study on functional outcome of internal fixation of tibial pilon fractures with locking plate using minimally invasive plate osteosynthesis technique |
| topic | biological fixation external fixator intra-articular mazur’s criteria ruedi allgower |
| url | https://jcdr.net/articles/PDF/7013/15284_CE[Ra1]_F(AK)_PF1(EKAK)_PFA(AK)_PF2(PAG).pdf |
| work_keys_str_mv | AT arjunballal aprospectivestudyonfunctionaloutcomeofinternalfixationoftibialpilonfractureswithlockingplateusingminimallyinvasiveplateosteosynthesistechnique AT hravindranathrai aprospectivestudyonfunctionaloutcomeofinternalfixationoftibialpilonfractureswithlockingplateusingminimallyinvasiveplateosteosynthesistechnique AT siddharthmshetty aprospectivestudyonfunctionaloutcomeofinternalfixationoftibialpilonfractureswithlockingplateusingminimallyinvasiveplateosteosynthesistechnique AT lawrencejohnmathias aprospectivestudyonfunctionaloutcomeofinternalfixationoftibialpilonfractureswithlockingplateusingminimallyinvasiveplateosteosynthesistechnique AT vikramshetty aprospectivestudyonfunctionaloutcomeofinternalfixationoftibialpilonfractureswithlockingplateusingminimallyinvasiveplateosteosynthesistechnique AT ashwinshetty aprospectivestudyonfunctionaloutcomeofinternalfixationoftibialpilonfractureswithlockingplateusingminimallyinvasiveplateosteosynthesistechnique AT arjunballal prospectivestudyonfunctionaloutcomeofinternalfixationoftibialpilonfractureswithlockingplateusingminimallyinvasiveplateosteosynthesistechnique AT hravindranathrai prospectivestudyonfunctionaloutcomeofinternalfixationoftibialpilonfractureswithlockingplateusingminimallyinvasiveplateosteosynthesistechnique AT siddharthmshetty prospectivestudyonfunctionaloutcomeofinternalfixationoftibialpilonfractureswithlockingplateusingminimallyinvasiveplateosteosynthesistechnique AT lawrencejohnmathias prospectivestudyonfunctionaloutcomeofinternalfixationoftibialpilonfractureswithlockingplateusingminimallyinvasiveplateosteosynthesistechnique AT vikramshetty prospectivestudyonfunctionaloutcomeofinternalfixationoftibialpilonfractureswithlockingplateusingminimallyinvasiveplateosteosynthesistechnique AT ashwinshetty prospectivestudyonfunctionaloutcomeofinternalfixationoftibialpilonfractureswithlockingplateusingminimallyinvasiveplateosteosynthesistechnique |