Intramedullary fixation of fibular fractures associated with pilon fractures

Journal of Orthopaedic Trauma
Jason M EvansRobert P Dunbar

Abstract

The purpose of this study was to determine the ability of intramedullary fibular fixation to maintain reduction until healing and to determine the overall complication rate in high-energy pilon fractures associated with fibular fractures. Retrospective study. Level I university trauma center. From 2000 to 2007, 972 pilon fractures were treated at our institution, 38 of which were treated with an intramedullary device for the associated fibular fracture. Two patients had acute amputations and two died; 1-year follow-up was obtained in 27 of the remaining patients. Average length of follow-up was 21 months. A retrospective chart and radiograph review was conducted of all patients for data extraction. Fibular fixation type and length, fibular healing, and complications. Average patient age was 36 years (range, 18-59 years). Four of the fibular fractures were segmental. All fractures had at least 50% of the cortex intact to prevent shortening. The average height of the fibular fractures from the distal tip was 6.9 cm (range, 1.3-22.2 cm). In 20 patients, a 3.5-mm fully threaded cortical screw was used for stabilization, and in the remaining seven, a 2.5-mm wire was used. The intramedullary implant extended 8.5 cm above the most pro...Continue Reading

References

Nov 1, 1994·Foot & Ankle International·A B BankstonP Nimityongskul
Mar 3, 1999·Journal of Orthopaedic Trauma·M SirkinD Herscovici
Mar 3, 1999·Journal of Orthopaedic Trauma·M J Patterson, J D Cole
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Citations

Aug 4, 2015·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·John A ScolaroDavid P Barei
Sep 16, 2016·Journal of Orthopaedic Surgery and Research·Paul J SwitajAnish R Kadakia
Jun 26, 2017·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Vladimir V LoukachovTim Schepers
Dec 20, 2017·Journal of Orthopaedic Trauma·Eric G MeinbergJames F Kellam
Jan 25, 2018·Foot & Ankle Specialist·Mark A PrisselGregory C Berlet
Jan 5, 2013·Journal of Orthopaedic Trauma·Julie AgelGregory L Desilva
Jan 16, 2020·Journal of Orthopaedic Trauma·Jonah Hebert-DaviesSean E Nork
Apr 24, 2013·Journal of Orthopaedic Trauma·Christopher M StewartPeter Nowotarski
Sep 11, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Zachary L Telgheder, Matthew P Sullivan
Sep 21, 2013·Journal of Orthopaedic Trauma·Julie AgelJ Lawrence Marsh
Jul 19, 2017·Der Unfallchirurg·Thomas Mittlmeier, Alice Wichelhaus
Mar 3, 2020·The Journal of Bone and Joint Surgery. American Volume·William T ObremskeyUNKNOWN ICM Orthopaedic Trauma Work Group*
Oct 20, 2018·Operative Orthopädie und Traumatologie·P F StillhardC Sommer
Nov 3, 2020·The Bone & Joint Journal·Alex J TrompeterMatthew L Costa
Nov 3, 2020·The Bone & Joint Journal·Alex J TrompeterMatthew L Costa
Mar 16, 2021·Journal of Clinical Orthopaedics and Trauma·Rachel M FaberJoshua L Langford
May 18, 2021·Journal of Clinical Orthopaedics and Trauma·Henrik C Bäcker, J Turner Vosseller

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