External fixation combined with limited internal fixation in the treatment of pilon tibia fractures
Background/Aim. Intraarticular fractures of the tibial plafond (pilon fractures) belong to the group of most severe fractures. They are usually caused by high-energy trauma and frequently associated with a marked soft-tissue damage. Surgical treatment has replaced the traditional nonoperative treatm...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Military Health Department, Ministry of Defance, Serbia
2007-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2007/0042-84500705307G.pdf |
| _version_ | 1818050191172829184 |
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| author | Golubović Zoran Mačukanović-Golubović Lana Stojiljković Predrag Jovanović Jovica Micić Ivan Stojiljković Danilo Milić Dragan Mitković Milorad |
| author_facet | Golubović Zoran Mačukanović-Golubović Lana Stojiljković Predrag Jovanović Jovica Micić Ivan Stojiljković Danilo Milić Dragan Mitković Milorad |
| author_sort | Golubović Zoran |
| collection | DOAJ |
| description | Background/Aim. Intraarticular fractures of the tibial plafond (pilon fractures) belong to the group of most severe fractures. They are usually caused by high-energy trauma and frequently associated with a marked soft-tissue damage. Surgical treatment has replaced the traditional nonoperative treatment. The aim of this study was to present the results of the treatment of distal tibial intraarticular fracture by the use of internal fixation, as well as the combination of minimal internal fixation and external fixation. Methods. The study included 47 patients with pilon tibia fractures who went through at the Clinic for Orthopedics and Traumatology, School of Medicine, Niš (1995-2004). Within the analyzed group there were 33 (70.2%) males and 14 (29.8%) females. The patients mean age was 45.8 years. In the first group, which consisted of 22 patients, open reduction and internal fixation of both the tibia and the fibula was performed in the two separate incisions. The second group consisted of 25 patients managed with external fixation by external fixator "Mitković" with limited internal fixation. Besides external fixation, a minimal internal fixation was performed by the use of Kirschner wires and screws. The patients were followed-up inside a 24-months-period. Results. The obtained was a substantially high number of complications after open reduction and internal fixation in the group of patients. There was no difference in a long-term clinical outcome. Postoperative osteitis, as the most severe complication in the management of closed pilon tibia fractures, was not registered in the second group. Conclusion. Considering the results obtained in this study, it can be concluded that external fixation by the "Mitković" external fixator with the minimal internal fixation is a satisfactory method for the treatment of fractures of the tibial plafond causing less complications than internal fixation. . |
| first_indexed | 2024-12-10T10:49:33Z |
| format | Article |
| id | doaj.art-f38da0823f6e4cd6bad40c34ef1d2395 |
| institution | Directory Open Access Journal |
| issn | 0042-8450 |
| language | English |
| last_indexed | 2024-12-10T10:49:33Z |
| publishDate | 2007-01-01 |
| publisher | Military Health Department, Ministry of Defance, Serbia |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj.art-f38da0823f6e4cd6bad40c34ef1d23952022-12-22T01:52:04ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502007-01-0164530731110.2298/VSP0705307GExternal fixation combined with limited internal fixation in the treatment of pilon tibia fracturesGolubović ZoranMačukanović-Golubović LanaStojiljković PredragJovanović JovicaMicić IvanStojiljković DaniloMilić DraganMitković MiloradBackground/Aim. Intraarticular fractures of the tibial plafond (pilon fractures) belong to the group of most severe fractures. They are usually caused by high-energy trauma and frequently associated with a marked soft-tissue damage. Surgical treatment has replaced the traditional nonoperative treatment. The aim of this study was to present the results of the treatment of distal tibial intraarticular fracture by the use of internal fixation, as well as the combination of minimal internal fixation and external fixation. Methods. The study included 47 patients with pilon tibia fractures who went through at the Clinic for Orthopedics and Traumatology, School of Medicine, Niš (1995-2004). Within the analyzed group there were 33 (70.2%) males and 14 (29.8%) females. The patients mean age was 45.8 years. In the first group, which consisted of 22 patients, open reduction and internal fixation of both the tibia and the fibula was performed in the two separate incisions. The second group consisted of 25 patients managed with external fixation by external fixator "Mitković" with limited internal fixation. Besides external fixation, a minimal internal fixation was performed by the use of Kirschner wires and screws. The patients were followed-up inside a 24-months-period. Results. The obtained was a substantially high number of complications after open reduction and internal fixation in the group of patients. There was no difference in a long-term clinical outcome. Postoperative osteitis, as the most severe complication in the management of closed pilon tibia fractures, was not registered in the second group. Conclusion. Considering the results obtained in this study, it can be concluded that external fixation by the "Mitković" external fixator with the minimal internal fixation is a satisfactory method for the treatment of fractures of the tibial plafond causing less complications than internal fixation. .http://www.doiserbia.nb.rs/img/doi/0042-8450/2007/0042-84500705307G.pdftibial fracturesfractures closedorthopedic proceduresexternal fixatorsinternal fixatorstreatmentoutcome |
| spellingShingle | Golubović Zoran Mačukanović-Golubović Lana Stojiljković Predrag Jovanović Jovica Micić Ivan Stojiljković Danilo Milić Dragan Mitković Milorad External fixation combined with limited internal fixation in the treatment of pilon tibia fractures Vojnosanitetski Pregled tibial fractures fractures closed orthopedic procedures external fixators internal fixators treatment outcome |
| title | External fixation combined with limited internal fixation in the treatment of pilon tibia fractures |
| title_full | External fixation combined with limited internal fixation in the treatment of pilon tibia fractures |
| title_fullStr | External fixation combined with limited internal fixation in the treatment of pilon tibia fractures |
| title_full_unstemmed | External fixation combined with limited internal fixation in the treatment of pilon tibia fractures |
| title_short | External fixation combined with limited internal fixation in the treatment of pilon tibia fractures |
| title_sort | external fixation combined with limited internal fixation in the treatment of pilon tibia fractures |
| topic | tibial fractures fractures closed orthopedic procedures external fixators internal fixators treatment outcome |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2007/0042-84500705307G.pdf |
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