2014, Number 5
<< Back Next >>
Acta Ortop Mex 2014; 28 (5)
Alternatives for the treatment of complex tibial pilon fractures
Argüelles-Linares F, Mifsut-Miedes D, Gil-Albarova R
Language: Spanish
References: 25
Page: 291-296
PDF size: 411.01 Kb.
ABSTRACT
Tibial pilon fractures are one of the most severe types of fractures, not only due to the complexity of their treatment, but also due to the important sequelae they may cause. Moreover, an important percentage of them are open fractures or importantly involve the soft tissues, thus making treatment even more difficult. Thirty-seven patients with tibial pilon fractures treated surgically were included in this study. The results of the FREMAP functional assessment scale were analyzed together with Burwell-Charnley’s radiographic criteria. Although there is no consensus on which is the best treatment, it is evident that combined treatment including external and internal fixation with a plate provides the best results.
REFERENCES
Ladero-Morales F, Sánchez-Lorente T, López-Oliva Muñoz F: Resultado del tratamiento quirúrgico de las fracturas complejas del pilón tibial. Rev Mex Ortop Traumatol. 2003; 47: 188-92.
Rüedi TP, Allgöwer M: The operative treatment of intra-articular fractures of the lower end of the tibia. Clin Orthop. 1979; 138: 105-10.
Sirkin M, Sanders R: Tratamiento de las fracturas de pilón tibial. Orthop Clin North America (edición española). 2001; 1(1): 153-60.
Mast JW, Spiegel PG, Pappas JN: Fractures of the tibia pilon. Clin Orthop. 1988; 230: 68-82.
Hernández-Hermoso JA, Fernández-Sabaté A, Rodríguez-Pérez D, Garreta-Anglada JL, Morales de Cano JJ: Fracturas del pilón tibial. Influencias del tipo de fractura y de la exactitud de la reducción articular en el pronóstico. Rev Mex Ortop Traumatol. 2001; 45: 489-97.
Sirkin M, Sanders R, DiPasquale T, Herscovici D: A staged protocol for soft tissue management in the treatment of complex pilon fractures. J Orthop Trauma. 1999; 13: 78-84.
Barbieri R, Schenk R, Koval K, Aurori K: Hybrid external fixation in the treatment of tibial plafond fractures. Clin Orthop. 1996; 332: 16-22.
Bonar SK, Mars JL: Unilateral external fixation for severe pilon fractures. Foot and Ankle. 1993; 14: 57-64.
Bone LB, Stegemant P, McNamara K, Seibel R: External fixation of severely comminuted and open tibial pilon fractures. Clin Orthop. 1993; 292: 101-7.
Griffiths GP, Thordason DB: The tibial plafond fractures: limited internal fixation and a hybrid external fixator. Foot and Ankle. 1996; 17: 444-8.
Marsh JL, Bonar SK, Nepola JV, Decoster TA, Hurwitz R: Use of an articulated external fixator for fractures of the distal tibial plafond. J Bone Joint Surg. 1995; 77A: 1498-509.
Saleh M, Shanahan MD, Fern ED: Intra-articular fractures of the distal tibia: surgical management by limited internal fixation and articulated distraction. Injury. 1993; 24: 37-40.
Tornetta PI, Weiner L, Bergman M, Watnik N, Steuer J, Kelley M, et al: Pilon fractures: treatment with combinated internal and external fixation. J Orthop Trauma. 1993; 7: 489-96.
Bone L, Sucato D, Stegemant TM, et al: Displaced isolated fractures of the tibia shaft treated with either a cast or intramedulary nailing. J Bone Joint Surg. 1997; 79A: 1336-41.
Helfet DL, Koval K, Pappas J, et al: Intraarticular “pilon” fracture of the tibia. Clin Orthop. 1994; 298: 221-8.
Leone VJ, Ruland RT, Meinhard BP: The management of the tissues in pilon fractures. Clin Orthop. 1993; 292: 315-20.
Patterson M, Cole JD: Two-staged delayed open reduction and internal fixation of severe pilon fractures. J Orthop Trauma. 1999; 13: 85-91.
Thordason DB: Complications after treatment of tibia pilon fractures: prevention and management strategies. J Am Acad Orthop Surg. 2000; 8: 253-65.
Bone LB: Fractures of the tibial plafond. The pilon fracture. Orthop Clin North Am. 1987; 18: 95-104.
Koras EH, Weiner LS: Displaced pilon fractures. An update. Orthop Clin North Am. 1994; 25: 651-63.
Borelli J, Catalano L: Open reduction and internal fixation of pilon fractures. J Orthop Trauma. 1999; 13: 573-82.
Sands A, Grujic L, Byck DC, Agel J, Benorschke S: Internal fixation of displaced pilon tibial fractures. Clin Orthop. 1998; 347: 131-7.
Ovadia DN, Beals RK: Fractures of the tibial plafond. J Bone Joint Surg. 1986; 68A: 543-51.
Kellman J, Waddell JP: Fractures of the distal tibia metaphysic with intra-articular extension-the distal tibia explosion fracture. J Trauma. 1979; 19: 593-601.
López-Oliva Muñoz F, Marqués-López F, Torner P, Martínez FM: Fracturas de pilón tibial, enfoque diagnóstico y terapéutico. Cursos de actualización SECOT: 89-96.