Primary Ankle Arthrodesis vs ORIF for Severely Comminuted Pilon Fractures

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Primary Ankle Arthrodesis for Severely Comminuted Tibial Pilon Fractures.

Management of severely comminuted, complete articular tibial pilon fractures (Rüedi and Allgöwer type III) remains a challenge, with few treatment options providing good clinical outcomes. Twenty patients with severely comminuted tibial pilon fractures underwent primary ankle arthrodesis with a retrograde calcaneal nail and autogenous fibular bone graft. The fusion rate was 100% and the varus m...

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The primary arthrodesis for severely comminuted intra-articular fractures of the calcaneus: a systematic review.

BACKGROUND Although open reduction and internal fixation via the extended lateral approach is currently considered gold-standard, severely comminuted calcaneal fractures might not be amendable for reconstruction. The primary aim of the current review study was to assess the functional outcome of the primary arthrodesis in the management of comminuted displaced intra-articular calcaneal fracture...

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Arthrodesis versus ORIF for Lisfranc fractures.

The Lisfranc joints make up the bony structural support of the transverse arch in the midfoot and account for approximately 0.2% of all fractures. Early recognition and treatment of this injury are paramount to preserving normal foot biomechanics and function. Controversy exists regarding the optimal treatment of patients with Lisfranc injuries, particularly when the instability is entirely lig...

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[Ilizarov external fixator in the management of tibial pilon fractures: ankle hinged vs ankle fixed frame].

OBJECTIVES In this study, we aimed to answer the following questions: (i) Do patients with tibial pilon fractures treated with an ankle hinge Ilizarov external fixator have a better ankle function versus ankle fixed? (ii) Is the incidence of posttraumatic arthrosis lower in patients treated with an ankle hinge Ilizarov external fixator? PATIENTS AND METHODS Between April 2002 and January 2008...

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Management of Comminuted Tibial Pilon Fractures by Ilizarov External Fixation

Various types of external fixators have been used to treat Ruedi and Allgöwer Type III pilon fractures, as serious complications can occur using conventional treatment principles. However, insufficient reduction and loss of reduction are the two main disadvantages of external fixator treatments. This is a case series involving 15 patients with comminuted closed fractures of the distal tibia (Ru...

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ژورنال

عنوان ژورنال: Foot & Ankle Orthopaedics

سال: 2018

ISSN: 2473-0114,2473-0114

DOI: 10.1177/2473011418780437