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Deutscher Kongress für Orthopädie und Unfallchirurgie (DKOU 2017)

24.10. - 27.10.2017, Berlin

Distal tibial fractures trated with the "one-stage" external fixation and minimal osteosynthesis

Meeting Abstract

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  • presenting/speaker Sasa Milenkovic - University Orthopaedic&Traumatology Clinic, Nis, Serbia
  • Milorad Mitkovic - University Orthopaedic&Traumatology Clinic, Nis, Serbia
  • Milan Mitkovic - University Orthopaedic&Traumatology Clinic, Nis, Serbia

Deutscher Kongress für Orthopädie und Unfallchirurgie (DKOU 2017). Berlin, 24.-27.10.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. DocIN36-618

doi: 10.3205/17dkou101, urn:nbn:de:0183-17dkou1018

Veröffentlicht: 23. Oktober 2017

© 2017 Milenkovic et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

Objectives: Distal tibial pilon fractures include extra-articular fractures of the tibial metaphysis and the more severe intra-articular tibial pilon fractures. There is no universal method for treating distal tibial pilon fractures. The high rate of soft-tissue complications associated with primary ORIF of pilon fractures led to the use of external skeletal fixation, with limited internal fixation as an alternative technique for definitive management. The aim of this study was to estimate efficacy of distal tibial pilon fratures treatment using the " one-stage" external skeletal and minimal osteosynthesis.

Methods: External fixation of distal tibial pilon fractures can be used as a temporary method in "staging" treatment protocol or as a definitive "one-stage" method with or without limited internal fixation. We presented a series of 36 operated patients with pilon fractures. The patients were operated on using the "one- stage" method of and external fixation according to Mitkovic with or without minimal osteosynthesis

Results and Conclusion: This retrospective study involved 36 patients with tibial pilon fractures, average age 41,81 (from 21 to 60) years. The average follow-up was 21,86 (from 12 to 48) months.The percentage of union was 91,66%, non-union rate was 3 (8,33%). The mean to fracture union was 14 (range 12-20) weeks. There were 4(11,11%) infections around the pins of the external fixator. The ankle joint arthrosis as a late complication appeared in 4 (11,11%) patients. The final functional results based on the AOFAS score were excellent in 22(61,11%), good in 14(38,88%).

"One- stage" External fixation and minimal osteosynthesis is a good method for treating tibial pilon fractures. In fractures types B and C dynamic external fixation allows early mobility on the ankle joint.