Effect of Lymphedema Treatment for Management of Acute Pilon Fractures

Orthopedics
John M WhatleyDanielle M Tatum

Abstract

Pilon fractures are high-energy injuries that often result in considerable edema and compromise of the soft tissue envelope of the ankle. These injuries are typically staged with an external fixator until the soft tissue is amenable for definitive fixation. This study was conducted to determine the effects of lymphedema treatment for the management of pilon fractures. Patients who underwent open reduction and internal fixation of pilon fractures between 2007 and 2014 at the authors' level II trauma center were identified by Current Procedural Terminology codes indicative of placement of an external fixator (20690) and open reduction and internal fixation of a pilon fracture (27826, 27827, or 27828). The primary efficacy endpoint to determine negative outcomes was 90 days after definitive fixation. Eighty-two patients with 84 pilon fractures met inclusion criteria. Forty-eight ankles (57%) received lymphedema treatment. There were no significant differences in population demographics between the control and treatment groups. Median times to internal fixation in the control and treatment groups were 20 days (inter-quartile range, 15.5-30 days) and 11 days (interquartile range, 6-18 days), respectively. This difference was statist...Continue Reading

References

Jan 1, 1992·Journal of Orthopaedic Trauma·M A McFerranH S Schwartz
Mar 3, 1999·Journal of Orthopaedic Trauma·M SirkinD Herscovici
Feb 13, 2003·Archives of Surgery·Alok TiwariGeorge Hamilton
Sep 23, 2003·QJM : Monthly Journal of the Association of Physicians·C J MoffattP S Mortimer
Sep 29, 2007·Annals of Plastic Surgery·Anne G WarrenSumner A Slavin
Nov 28, 2007·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Hüseyin ArslanAydin Ketani
Oct 8, 2011·The Journal of the American Academy of Orthopaedic Surgeons·Brett D CristGregory J Della Rocca
Apr 3, 2014·Annals of Plastic Surgery·Reid A MaclellanArin K Greene

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Citations

Nov 22, 2020·Journal of Bodywork and Movement Therapies·Ifat KleinLeonid Kalichman

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