Minimally Invasive Technique in the Management of Tibial Pilon Fractures: New Approach and Promising Results

Background. Comminuted tibial pilon fractures are induced by high-energy mechanisms and are often associated with soft tissue injuries. Their surgical approach is problematic due to postoperative complications. Minimally invasive management of these fractures has a considerable advantage in preservi...

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Main Authors: Yassine Ben Bouzid, Rida-Allah Bassir, Monsef Boufettal, Jalal Mekkaoui, Mohamed Kharmaz, Moulay Omar Lamrani, Mohamed Saleh Berrada
Format: Article
Language:English
Published: Hindawi Limited 2023-01-01
Series:Advances in Orthopedics
Online Access:http://dx.doi.org/10.1155/2023/1272490
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author Yassine Ben Bouzid
Rida-Allah Bassir
Monsef Boufettal
Jalal Mekkaoui
Mohamed Kharmaz
Moulay Omar Lamrani
Mohamed Saleh Berrada
author_facet Yassine Ben Bouzid
Rida-Allah Bassir
Monsef Boufettal
Jalal Mekkaoui
Mohamed Kharmaz
Moulay Omar Lamrani
Mohamed Saleh Berrada
author_sort Yassine Ben Bouzid
collection DOAJ
description Background. Comminuted tibial pilon fractures are induced by high-energy mechanisms and are often associated with soft tissue injuries. Their surgical approach is problematic due to postoperative complications. Minimally invasive management of these fractures has a considerable advantage in preserving the soft tissue and the fracture hematoma. Materials and Methods. We conducted a retrospective study of a series of 28 cases treated at the Orthopedic and Traumatological Surgery Department of the CHU Ibn Sina in Rabat over a period of 3 years and 9 months, from January 2018 to September 2022. Results. After a mean follow-up of 16 months, 26 cases had good clinical results according to the Biga SOFCOT criteria and 24 cases had good radiological results according to the Ovadia and Beals criteria. No cases of osteoarthritis were observed. No skin complications were reported. Conclusion. This study highlights a new approach that deserves to be considered for this type of fracture as long as no consensus has been given.
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spelling doaj.art-e015c45e7669448d8094959827a8f8532023-03-29T00:00:04ZengHindawi LimitedAdvances in Orthopedics2090-34722023-01-01202310.1155/2023/1272490Minimally Invasive Technique in the Management of Tibial Pilon Fractures: New Approach and Promising ResultsYassine Ben Bouzid0Rida-Allah Bassir1Monsef Boufettal2Jalal Mekkaoui3Mohamed Kharmaz4Moulay Omar Lamrani5Mohamed Saleh Berrada6Department of Orthopedic and Trauma SurgeryDepartment of Orthopedic and Trauma SurgeryDepartment of Orthopedic and Trauma SurgeryDepartment of Orthopedic and Trauma SurgeryDepartment of Orthopedic and Trauma SurgeryDepartment of Orthopedic and Trauma SurgeryDepartment of Orthopedic and Trauma SurgeryBackground. Comminuted tibial pilon fractures are induced by high-energy mechanisms and are often associated with soft tissue injuries. Their surgical approach is problematic due to postoperative complications. Minimally invasive management of these fractures has a considerable advantage in preserving the soft tissue and the fracture hematoma. Materials and Methods. We conducted a retrospective study of a series of 28 cases treated at the Orthopedic and Traumatological Surgery Department of the CHU Ibn Sina in Rabat over a period of 3 years and 9 months, from January 2018 to September 2022. Results. After a mean follow-up of 16 months, 26 cases had good clinical results according to the Biga SOFCOT criteria and 24 cases had good radiological results according to the Ovadia and Beals criteria. No cases of osteoarthritis were observed. No skin complications were reported. Conclusion. This study highlights a new approach that deserves to be considered for this type of fracture as long as no consensus has been given.http://dx.doi.org/10.1155/2023/1272490
spellingShingle Yassine Ben Bouzid
Rida-Allah Bassir
Monsef Boufettal
Jalal Mekkaoui
Mohamed Kharmaz
Moulay Omar Lamrani
Mohamed Saleh Berrada
Minimally Invasive Technique in the Management of Tibial Pilon Fractures: New Approach and Promising Results
Advances in Orthopedics
title Minimally Invasive Technique in the Management of Tibial Pilon Fractures: New Approach and Promising Results
title_full Minimally Invasive Technique in the Management of Tibial Pilon Fractures: New Approach and Promising Results
title_fullStr Minimally Invasive Technique in the Management of Tibial Pilon Fractures: New Approach and Promising Results
title_full_unstemmed Minimally Invasive Technique in the Management of Tibial Pilon Fractures: New Approach and Promising Results
title_short Minimally Invasive Technique in the Management of Tibial Pilon Fractures: New Approach and Promising Results
title_sort minimally invasive technique in the management of tibial pilon fractures new approach and promising results
url http://dx.doi.org/10.1155/2023/1272490
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