Severe Fracture of the Tibial Pilon: Results with a Multidirectional Self-locking Osteosynthesis Plate Utilizing a Two-stage Procedure

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Arndt Peter SchulzChristian Queitsch

Abstract

The objective of this study is to determine the treatment result of severe fractures of the tibial pilon using a two-stage treatment plan with a singular implant type. The setting is a level 1 trauma centre, the design a consecutive series of patients with a retrospective data evaluation. Due to anatomical circumstances, soft-tissue treatment is extremely important for fractures of the tibial plafond. After promising results reported about a two-staged treatment plan with external fixation and secondary internal fixation, we incorporated this method in our treatment protocol. This consisted in a second stage of internal fixation with a specifically developed locked pilon plate with multi-directional applicable screws. Between March 2000 and February 2005, 42 patients with high-energy fractures of the tibial plafond were treated using a two-staged treatment plan: firstly the fracture was stabilized with an external fixator immobilizing the ankle joint. Secondly, after stabilization of the soft-tissue situation (mean 9.2 days) open reduction and internal fixation with a locked-screw plate was performed. Complications experienced included three cases of superficial wound necrosis, in two cases a deep vein thrombosis occurred. All ...Continue Reading

References

Mar 1, 1986·The Journal of Bone and Joint Surgery. British Volume·F Behrens, K Searls
Oct 1, 1995·The Journal of Bone and Joint Surgery. American Volume·J L MarshS R Hurwitz
Jul 1, 1994·Foot & Ankle International·H B KitaokaM Sanders
Jan 1, 1993·Journal of Orthopaedic Trauma·P TornettaE Yang
Apr 1, 1996·Clinical Orthopaedics and Related Research·M G McDonaldP J Nicholls
Mar 3, 1999·Journal of Orthopaedic Trauma·M J Patterson, J D Cole
Jul 24, 2001·The Orthopedic Clinics of North America·M Sirkin, R Sanders
Apr 27, 2002·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·O KilianR Schnettler
Aug 1, 1959·American Journal of Surgery·F JERGESEN
Oct 18, 2003·The Journal of Bone and Joint Surgery. American Volume·Andrew N PollakMarc F Swiontkowski
May 6, 2004·Injury·Mujahid Ali Syed, Vinod Kumar Panchbhavi
Oct 9, 2004·Journal of Orthopaedic Trauma·Michael SirkinDolfi Herscovici
Sep 5, 2006·Archives of Orthopaedic and Trauma Surgery·Olivier BorensDavid L Helfet
Feb 1, 2007·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Wolfgang DaeckeJohannes Frank

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Citations

Jan 6, 2017·Clinical Orthopaedics and Related Research·T David LuoAnna N Miller
Mar 7, 2021·Journal of Orthopaedic Trauma·Jeffrey J OlsonMichael J Weaver
Mar 7, 2021·Journal of Orthopaedic Trauma·L Henry GoodnoughJustin F Lucas

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