Medium-Long-Term Radiographic and Clinical Outcomes after Surgical Treatment of Intra-Articular Tibial Pilon Fractures by Three Different Techniques
Joint Authors
Biz, Carlo
Ruggieri, Pietro
Angelini, Andrea
Zamperetti, Marco
Marzotto, Filippo
Sperotto, Silvano Pierluigi
Carniel, Diego
Iacobellis, Claudio
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-03-01
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract EN
Introduction.
The goal of this retrospective, observational, case series study was to evaluate the medium-long-term clinical and radiographic results of the three most common surgical osteosynthesis techniques used for the treatment of articular tibial pilon fractures: ORIF, MIPO, and EF.
Materials and Methods.
A consecutive series of patients with articular pilon fractures who underwent surgery at our institution were enrolled in this study.
Fractures were classified according to the Müller AO classification system.
Overall outcomes took the following into account: radiographic quality of reduction, evaluated using Ovadia and Beals’ criteria; clinical assessment, evaluated using the AOFAS questionnaire; and general health, evaluated with the SF36-v2 Health Survey.
Results.
A total of 94 articular pilon fractures (34 type 43-B and 60 43-C) were evaluated with a mean follow-up of 56.34 months (range 33–101).
The techniques used were ORIF, MIPO, and EF in 63 (67%), 17 (18.9%), and 14 cases (14.1%), respectively.
According to Ovadia and Beals’ criteria, good, fair, and poor results were reported in 61 (64.89%), 26 (27.66%), and 7 (7.45%) cases, respectively.
The mean AOFAS score was 82.41 for MIPO, 79.83 for ORIF, and 50.57 for EF, respectively.
Thirty-nine patients (41.49%) presented early and/or late complications.
Conclusion.
Satisfactory outcomes using the three different techniques were reported.
In particular, the radiographic outcomes were inversely proportional to the fracture comminutions and statistically different between internal and external osteosynthesis, but comparable between ORIF and MIPO techniques.
On the other hand, the clinical outcomes were closely related to the soft tissue conditions and the anatomical reconstruction of the joint.
American Psychological Association (APA)
Biz, Carlo& Angelini, Andrea& Zamperetti, Marco& Marzotto, Filippo& Sperotto, Silvano Pierluigi& Carniel, Diego…[et al.]. 2018. Medium-Long-Term Radiographic and Clinical Outcomes after Surgical Treatment of Intra-Articular Tibial Pilon Fractures by Three Different Techniques. BioMed Research International،Vol. 2018, no. 2018, pp.1-12.
https://search.emarefa.net/detail/BIM-1127671
Modern Language Association (MLA)
Biz, Carlo…[et al.]. Medium-Long-Term Radiographic and Clinical Outcomes after Surgical Treatment of Intra-Articular Tibial Pilon Fractures by Three Different Techniques. BioMed Research International No. 2018 (2018), pp.1-12.
https://search.emarefa.net/detail/BIM-1127671
American Medical Association (AMA)
Biz, Carlo& Angelini, Andrea& Zamperetti, Marco& Marzotto, Filippo& Sperotto, Silvano Pierluigi& Carniel, Diego…[et al.]. Medium-Long-Term Radiographic and Clinical Outcomes after Surgical Treatment of Intra-Articular Tibial Pilon Fractures by Three Different Techniques. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-12.
https://search.emarefa.net/detail/BIM-1127671
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1127671