The outcome of pilon fracture management using different fixation modalities | ||||
| Aswan University Medical Journal | ||||
| Volume 3, Issue 2, December 2023, Page 255-268 PDF (588.31 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/aumj.2023.255278.1093 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ebied Yassin 1; Abd El-Rahman Anwer Awad  2; Hesham Elrefae3; mohamed adbelmoneim hussein 4
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| 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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