medigraphic.com
ISSN 1684-1824 (Electronic)

2021, Number 2

<< Back Next >>

Rev Méd Electrón 2021; 43 (2)

Outcomes assessment in the treatment of patients with tibial pylon fractures

Amigo CP, Rodríguez DM, Reguera RR, Fernández VO, Amigo RPA

Language: Spanish
References: 18
Page:
PDF size: 163.77 Kb.


ABSTRACT

Introduction: tibial pylon fractures are a challenge for the surgeon surgery and currently there is a controversy regarding their treatment.
Objective: to assess the outcomes of the applied treatment.
Materials and methods: an observational, descriptive, longitudinal study was carried out with the study universe of all the patients who were attended and treated with tibial pylon fracture from January 1st, 2015 to December 31st, 2016. A sample composed by 27 patients was chosen.
Results: male sex (78 %) and both-sexes 40-49 age group (37 %) predominated. There was a predominance of fractures caused by traffic accidents with 59 %, being closed fractures the most represented ones, with 78 %. 67 % of the patients did not present associated injuries, being type II fractures predominant in 55 % of the total. 74 % of the cases underwent surgery, achieving consolidation in 78 % of the cases before 16 weeks. Before 20 weeks, 78 % of the cases were indicated to set on their foot, and 13 patients had complications, representing 48 % of the total. In spite of this, 63 % of the patients were evaluated as excellent and well as final outcome.
Conclusions: the tibial pylon fracture is an injury of very difficult handling for the today's orthopedic surgeon.


REFERENCES

  1. Chua W, Murphy D, Siow W, et al. Epidemiological analysis of outcomes in 323 open tibial diaphyseal fractures: A nine-year experience. Singapore medical Journal [Internet]. 2012 [citado 01/12/2020]; 53(6): 385-9. Disponible en: Disponible en: https://www.researchgate.net/publication/227342930_Epidemiological_analysis_of_outcomes_in_323_open_tibial_diaphyseal_fractures_A_nine-year_experience .

  2. Olivera R, Machain S, Filomeno P. Estrategias de tratamiento quirúrgico en fracturas de pilón tibial de alta energía. Revisión bibliográfica sistematizada. An Facultad Med [Internet]. 2016 [citado 14/01/2021]; 3(1): 25-6. Disponible en: Disponible en: http://www.anfamed.edu.uy/index.php/rev/article/view/164

  3. Kawalkar AC, Badole CM. Distal tibia metaphyseal fractures: Which is better, intra-medullary nailing or minimally invasive plate osteosynthesis? Journal of Orthopaedics [Internet]. 2018 [citado 01/12/2020]; 24(3): 66-71. Disponible en: Disponible en: https://www.sciencedirect.com/science/article/pii/S2210491716301105

  4. Hernández R, Castro R, Fierro D, et al. Tratamiento en dos tiempos de fracturas de pilón tibial de tipo AO/OTA 43C: ¿influye la síntesis primaria del peroné en el resultado clínico y funcional? Rev del Pie y Tobillo [Internet]. 2014 [citado 01/12/2020]; 28(1): 24-8. Disponible en: Disponible en: https://www.researchgate.net/publication/302062050_Tratamiento_en_dos_tiempos_de_fracturas_de_pilon_tibial_de_tipo_AOOTA_43C_influye_la_sintesis_primaria_del_perone_en_el_resultado_clinico_y_funcional

  5. Oliveira RV, Cruz LP, Matos MA. Comparative accuracy assessment of the Gustilo and Tscherne classification systems as predictors of infection in open fractures. Rev Brasileira de Ortopedia [Internet]. 2018 [citado 01/12/2020]; 53(3): 314-8. Disponible en: Disponible en: https://www.sciencedirect.com/science/article/pii/S2255497118300442?via%3Dihub

  6. Barrionuevo Yugsi DE. Tratamiento fisioterapéutico en fractura del tercio distal de la tibia y peroné a nivel maleolar en el Hospital Pablo Arturo Suárez de la ciudad de Quito en el periodo diciembre 2017-febrero 2018 [tesis en Internet]. Quito: UCE; 2018 [citado 01/12/2020]. Disponible en: Disponible en: http://www.dspace.uce.edu.ec/handle/25000/16022

  7. Hernández Hermoso JA, Fernández Sabaté A, Rodríguez Pérez D, et al. Fracturas del pilón tibial. Influencia del tipo de fractura y de la exactitud de la reducción articular en el pronóstico. Rev de Ortopedia y Traumatología [Internet]. 2001 [citado 01/12/2020]; 45(5): 389-97. Disponible en: Disponible en: http://diposit.ub.edu/dspace/handle/2445/111003

  8. García-Balderas A, Beltrán-Cota E, Ruiz-Barrios J, et al. Resultados del tratamiento de las fracturas del pilón tibial por alta energía. Acta Ortopédica Mexicana [Internet]. 2013 [citado 01/12/2020]; 27(6): 363-6. Disponible en: Disponible en: https://www.medigraphic.com/pdfs/ortope/or-2013/or136c.pdf

  9. Ferrer Lozano Y, Morejón Trofimova Y, Oquendo Vázquez P. Uso de fijador externo RALCA® en fracturas abiertas. Experiencia en 14 años. Medisur [Internet]. 2017 [citado 14/01/2021]; 15(5): 647-55. Disponible en: Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-897X2017000500010&lng=es

  10. Liu XK, Xu WN, Xue QY, et al. Intramedullary Nailing Versus Minimally Invasive Plate Osteosynthesis for Distal Tibial Fractures: A Systematic Review and Meta-Analysis. Orthop Surg. 2019 ; 11(6): 954-65. Citado en PubMed; PMID: 31823496; PMCID: PMC6904655.

  11. Dehghan N, McKee MDJJ. What’s New in Orthopaedic Trauma? The Journal of Bone and Joint Surgery [Internet]. 2019 [citado 01/12/2020]; 101(13): 1138-43. Disponible en: Disponible en: https://journals.lww.com/jbjsjournal/Fulltext/2019/07030/What_s_New_in_Orthopaedic_Trauma.2.aspx

  12. Dhakar A, Annappa R, Gupta M, et al. Minimally Invasive Plate Osteosynthesis with Locking Plates for Distal Tibia Fractures. J Clin Diagn Res. 2016 ; 10(3):RC01-4. Citado en PubMed; PMID: 27134954; PMCID: PMC4843339.

  13. Galante VN, Vicenti G, Corina G, et al. Hybrid external fixation in the treatment of tibial pilon fractures: A retrospective analysis of 162 fractures. Injury [Internet]. 2016 [citado 01/12/2020]; 47: 131-7. Disponible en: Disponible en: https://www.clinicalkey.es/#!/content/playContent/1-s2.0-S0020138316303424?returnurl=null&referrer=null

  14. Kim GB, Shon OJ, Park CH. Treatment of AO/OTA Type C Pilon Fractures Through the Anterolateral Approach Combined with the Medial MIPO Technique. Foot Ankle Int. 2018 ; 39(4): 426-32. Citado en PubMed; PMID: 29359596.

  15. Shi D, Liu K, Zhang H, et al. Investigating the biomechanical function of the plate-type external fixator in the treatment of tibial fractures: a biomechanical study. BMC Musculoskeletal Disorders. [Internet]. 2020 . [citado 01/12/2020]; 21(1): 128. Disponible en: Disponible en: https://link.springer.com/article/10.1186/s12891-020-3144-5

  16. Mar'éi MM, El-Kady RH, El-Aidy SM, et al. Evaluation of Minimally Invasive Percutaneous Plate Osteosynthesis in Treatment of Distal Tibial Fractures. The Egyptian Journal of Hospital Medicine [Internet]. 2020 . [citado 01/12/2020]; 78(2): 220-6. Disponible en: Disponible en: https://ejhm.journals.ekb.eg/article_69682.html

  17. Hirsch SM, Flores AF, Ardiles CO, et al. Comprendiendo las fracturas triplanares de la tibia distal. Rev Chil Radiol [Internet]. 2016 . [citado 01/12/2020]; 22(3): 114-20. Disponible en: Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0717-93082016000300006&lng=es.http://dx.doi.org/10.1016/j.rchira.2016.09.002

  18. Yunga Bravo MP, Yunga Bravo GF. Microorganismos más frecuentes en fracturas expuestas. RECIAMUC [Internet]. 2020 [citado 14/01/2021]; 4(2): 68-5.Disponible en: Disponible en: https://reciamuc.com/index.php/RECIAMUC/article/view/480




2020     |     www.medigraphic.com