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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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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
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container_issue	6
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container_title	International orthopaedics
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creator	CONROY, J AGARWAL, M GIANNOUDIS, P. V MATTHEWS, S. J. E
description	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
doi_str_mv	10.1007/s00264-003-0486-1
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Injuries of the spine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Muscle, Skeletal - transplantation</subject><subject>Original Paper</subject><subject>Postoperative Complications</subject><subject>Prospective Studies</subject><subject>Radiography</subject><subject>Surgical Flaps</subject><subject>Tibial Fractures - diagnostic imaging</subject><subject>Tibial Fractures - surgery</subject><subject>Traumas. 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Diseases due to physical agents</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CONROY, J</creatorcontrib><creatorcontrib>AGARWAL, M</creatorcontrib><creatorcontrib>GIANNOUDIS, P. V</creatorcontrib><creatorcontrib>MATTHEWS, S. J. E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CONROY, J</au><au>AGARWAL, M</au><au>GIANNOUDIS, P. V</au><au>MATTHEWS, S. J. 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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
title	Early internal fixation and soft tissue cover of severe open tibial pilon fractures
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