Minimally-invasive treatment of high velocity intra-articular fractures of the distal tibia.
Leonard, M Magill, P Khayyat, G
Leonard, M
Magill, P
Khayyat, G
Author
Advisors
Editors
Other Contributors
Date
2012-02-01T10:21:47Z
Date Submitted
Keywords
Other Subjects
Subject Mesh
Adolescent
Adult
Bone Screws
Female
Follow-Up Studies
Fracture Fixation, Internal/instrumentation/*methods
Humans
Male
Middle Aged
Prospective Studies
Surgical Procedures, Minimally Invasive/instrumentation/*methods
Tibial Fractures/radiography/rehabilitation/*surgery
Treatment Outcome
Young Adult
Adult
Bone Screws
Female
Follow-Up Studies
Fracture Fixation, Internal/instrumentation/*methods
Humans
Male
Middle Aged
Prospective Studies
Surgical Procedures, Minimally Invasive/instrumentation/*methods
Tibial Fractures/radiography/rehabilitation/*surgery
Treatment Outcome
Young Adult
Planned Date
Start Date
Collaborators
Principal Investigators
Alternative Titles
Publisher
Abstract
The pilon fracture is a complex injury. The purpose of this study was to evaluate the outcome of minimally invasive techniques in management of these injuries. This was a prospective study of closed AO type C2 and C3 fractures managed by early (<36 hours) minimally invasive surgical intervention and physiotherapist led rehabilitation. Thirty patients with 32 intra-articular distal tibial fractures were treated by the senior surgeon (GK). Our aim was to record the outcome and all complications with a minimum two year follow-up. There were two superficial wound infections. One patient developed a non-union which required a formal open procedure. Another patient was symptomatic from a palpable plate inferiorly. An excellent AOFAS result was obtained in 83% (20/24) of the patients. Early minimally invasive reduction and fixation of complex high velocity pilon fractures gave very satisfactory results at a minimum of two years follow-up.
Language
eng
ISSN
1432-5195 (Electronic)
0341-2695 (Linking)
0341-2695 (Linking)
eISSN
ISBN
DOI
10.1007/s00264-008-0629-5
PMID
18654775