Early internal fixation and soft tissue cover of severe open tibial pilon fractures

We studied 32 consecutive patients with open distal tibial pilon fractures. All patients had radical debridement with immediate skeletal stabilisation and early soft-tissue cover with a vascularized muscle flap. The minimum follow-up was 1 (range 1-8) year. There were four superficial infections, tw...

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Bibliographic Details
Published in:International orthopaedics 2003, Vol.27 (6), p.343-347
Main Authors: CONROY, J, AGARWAL, M, GIANNOUDIS, P. V, MATTHEWS, S. J. E
Format: Article
Language:English
Subjects:
Amputation, Surgical
Biological and medical sciences
Debridement
Diseases of the osteoarticular system
Female
Fracture Fixation, Internal - methods
Fracture Healing
Humans
Injuries of the limb. Injuries of the spine
Male
Medical sciences
Muscle, Skeletal - transplantation
Original Paper
Postoperative Complications
Prospective Studies
Radiography
Surgical Flaps
Tibial Fractures - diagnostic imaging
Tibial Fractures - surgery
Traumas. Diseases due to physical agents
Treatment Outcome
Citations: Items that cite this one
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Summary:We studied 32 consecutive patients with open distal tibial pilon fractures. All patients had radical debridement with immediate skeletal stabilisation and early soft-tissue cover with a vascularized muscle flap. The minimum follow-up was 1 (range 1-8) year. There were four superficial infections, two deep infections and two amputations. There were no long-term problems with union and no patient required an ankle fusion. Patients were assessed using the SF-36 questionnaire. There were significant differences from the US norm in physical function score ( p
ISSN:0341-2695
1432-5195
DOI:10.1007/s00264-003-0486-1