Minimally-invasive treatment of high velocity intra-articular fractures of the distal tibia.
Affiliation
Our Lady Of Lourdes Hospital, Drogheda, Co. Louth, Ireland., mikeleonard77@gmail.comIssue Date
2012-02-01T10:21:47ZMeSH
AdolescentAdult
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
Metadata
Show full item recordCitation
Int Orthop. 2009 Aug;33(4):1149-53. Epub 2008 Jul 25.Journal
International orthopaedicsDOI
10.1007/s00264-008-0629-5PubMed ID
18654775Abstract
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
engISSN
1432-5195 (Electronic)0341-2695 (Linking)
ae974a485f413a2113503eed53cd6c53
10.1007/s00264-008-0629-5
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