Long-term results of various therapy concepts in severe pilon fractures
| dc.contributor.author | Koulouvaris, P. | en |
| dc.contributor.author | Stafylas, K. | en |
| dc.contributor.author | Mitsionis, G. | en |
| dc.contributor.author | Vekris, M. | en |
| dc.contributor.author | Mavrodontidis, A. | en |
| dc.contributor.author | Xenakis, T. | en |
| dc.date.accessioned | 2015-11-24T19:06:16Z | |
| dc.date.available | 2015-11-24T19:06:16Z | |
| dc.identifier.issn | 0936-8051 | - |
| dc.identifier.uri | https://olympias.lib.uoi.gr/jspui/handle/123456789/20322 | |
| dc.rights | Default Licence | - |
| dc.subject | Adult | en |
| dc.subject | Aged | en |
| dc.subject | Ankle Joint/physiopathology | en |
| dc.subject | Arthritis/physiopathology | en |
| dc.subject | Bone Transplantation | en |
| dc.subject | Case-Control Studies | en |
| dc.subject | *External Fixators | en |
| dc.subject | Follow-Up Studies | en |
| dc.subject | *Fracture Fixation, Internal | en |
| dc.subject | Fracture Healing/physiology | en |
| dc.subject | Fractures, Closed/classification/physiopathology/*surgery | en |
| dc.subject | Fractures, Open/classification/physiopathology/*surgery | en |
| dc.subject | Humans | en |
| dc.subject | Middle Aged | en |
| dc.subject | Range of Motion, Articular/physiology | en |
| dc.subject | Recovery of Function/physiology | en |
| dc.subject | Retrospective Studies | en |
| dc.subject | Tibial Fractures/classification/physiopathology/*surgery | en |
| dc.title | Long-term results of various therapy concepts in severe pilon fractures | en |
| heal.abstract | INTRODUCTION: Intra-articular fractures of the tibia plafond are among the most challenging of orthopaedic problems. This is a retrospective case-control study of surgically treated pilon fractures which was undertaken to compare the internal fixation with the two external fixation methods. METHODS: This is a case-control study of 55 patients with 55 pilon fractures. There were 36 type C and 19 type B. Of these fractures, 24 were open and 31 closed. Three surgical protocols were used. In 20 patients, Group A, a half pin external fixator with ankle spanning was performed. The mean age of patients was 42.0 years (22.0-74.0), SD 14.1 and the mean follow-up was 77.7 months (38.0-132.0), SD 25.4. In 22 patients, Group B, a single ankle sparring ring hybrid external fixator under a small arthrotomy was performed. The mean age of patients was 48.4 years (28.0-76.0), SD 12.4 and mean follow-up was 67.9 months (36.0-132.0), SD 27.8. In 13 patients, Group C, a two-staged internal fixation was performed. The mean age was 45.6 years (30.0-66.0), SD 9.7 and the mean follow-up was 78.6 months (55.0-132.0), SD 25.4. We addressed the dissimilarity of the type of fracture in each group performing supplementary stratified analyses within each fracture type group. RESULTS: Group A had union in 6.9 months, group B in 5.6 months and group C in 5.1 months; P = 0.009. Six patients (Group A), two (Group B), and one (Group C) had limitation of ankle motion; P = 0.47. One patient from group C developed infection and the plate was removed. Four patients (Group A), one (Group B), and one (Group C) have developed posttraumatic arthritis (loss of joint space and pain); P = 0.25. Seven patients from Group A have reduced their activities; P = 0.004. In stratified statistical analysis by type of fracture, the associations noted for both fracture groups combined were also noted separately within each fracture group. CONCLUSION: In this long term follow-up study, the two-staged internal fixation and the hybrid fixation with small arthrotomy were equally efficacious in achieving bone union. Patients in external fixation with the ankle spanning had a significantly higher rate of delayed union. Also more patients in this group have reduced their activities. | en |
| heal.access | campus | - |
| heal.fullTextAvailability | TRUE | - |
| heal.identifier.primary | 10.1007/s00402-007-0306-y | - |
| heal.identifier.secondary | http://www.ncbi.nlm.nih.gov/pubmed/17354011 | - |
| heal.identifier.secondary | http://www.springerlink.com/content/85l3717766156p45/fulltext.pdf | - |
| heal.journalName | Arch Orthop Trauma Surg | en |
| heal.journalType | peer-reviewed | - |
| heal.language | en | - |
| heal.publicationDate | 2007 | - |
| heal.recordProvider | Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής | el |
| heal.type | journalArticle | - |
| heal.type.el | Άρθρο Περιοδικού | el |
| heal.type.en | Journal article | en |
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