The outcome of pilon fracture management using different fixation modalities | ||
| Aswan University Medical Journal | ||
| Volume 3, Issue 2, December 2023, Pages 255-268 PDF (588.31 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/aumj.2023.255278.1093 | ||
| Authors | ||
| Ebied Yassin1; Abd El-Rahman Anwer Awad* 2; Hesham Elrefae3; mohamed adbelmoneim hussein4 | ||
| 1Aswan University hospital | ||
| 2Aswan university hospitals | ||
| 3Aswan university | ||
| 4lecturer of orthopaedic departement faculty of medicine Aswan University | ||
| Abstract | ||
| ABSTRACT Background: treatment of pilon fractures is challenging and the appropriate method is still uncertain. Purpose: detection of the best modality for the treatment of pilon fractures Patients and Methods: This prospective study was conducted on 40 patients with pilon fractures. The patients were subdivided into 3 groups; Group A: 12 patients underwent two staged techniques (temporary DFF followed by later ORIF), and Group B: 8 patients underwent one-stage fixation with primary IF. Group C: 20 patients underwent one-stage fixation with Primary ORIF. The mean follow-up time is 12 (10-17) months. Results: The adequacy of anatomical reduction was significantly higher in group C than in groups A and B. The union rate was 97.5%. The union time was insignificantly different between the studied groups. Conclusion: One-stage surgery using the Ilizarov fixator is the best treatment for all open and closed type RA III pilon fractures and is more successful than one-step ORIF surgery due to the potential for wound complications. One-stage surgery using ORIF is the ideal option for closed pilon fracture RA I and II with mild oedema. Two-stage surgery is reliable for open fracture RA I and III. | ||
| Keywords | ||
| Pilon fracture; Ilizarov; Delta frame | ||
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