Open reduction and Internal Fixation (ORIF) of Posterior Pilon Variant Fractures with Buttress Plate Through Posterolateral Approach
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 10
Abstract
Introduction: Pilon fractures are major group of fractures around the ankle which involves the lower end of tibia bone that forms the ankle joint by articulating with the talus. It is also known as plafond fractures. Posterior pilon variant fracture is characterized by the involvement of both posterolateral and posteromedial malleolar fragment. The aim of this study was to assess the outcome using posterolateral surgical approach in posterior tibial pilon variant fracture using buttress plate. Material and Methods: The study was conducted for the duration of 2 years from September 1, 2013 to December 31, 2015, 110 consecutive patients with ankle fractures underwent operative treatment at The first affiliated hospital of Zhengzhou University. It was found that 13 fractures in 13 patients with impaction of the posterior tibial plafond were identified as posterior pilon fractures with the help of CT scans and the treatment was done through posterolateral approach with buttress plating. The follow-up was done for all the 13 patients. The clinical outcome was measured with the American Orthopaedic Foot and Ankle Society score (AOFAS) and the visual analogue scale (VAS). The radiological evaluation was done using the osteoarthritis score (OAscore). Results: All the 13 patients were found with satisfactory and stable fixation. At a mean follow up of 18.5 months, all the patients had good radiological results and showed satisfactory clinical outcome. The mean AOFAS was 90.38, the mean OA - Score was 0.4 and the mean VAS score during, rest, active motion, and weights bearing walking were 0.4, 0.5, and 1.0 respectively. All the fractures were healed and there was no skin breakdown, malunion or delayed union. Accurate reduction was achieved in all patients. No wound complication or hardware irritation was found. No nerve injury was reported in any patients intra-operatively. Conclusion: Surgeons should be able to handle and treat the soft tissue injury with extra care. No single method of fixation is ideal for all pilon fractures, or suitable for all patients. In the present study, it was found that open reduction and internal fixation of posterior variant pilon fracture with buttress plate through posterolateral approach is a good alternative to the anteromedial approach, if the fracture type is appropriate to use this approach. Buttress plating provides rigid fixation allowing early postoperative mobilisation in patients. Posterolateral approach is safe with satisfactory wound healing without any complications.
Authors and Affiliations
Atul Dwivedi, Shweta Shukla Dwivedi, Su Zhenhong, Si Wenxia, Yuan Chao, Li Duanzhuo, Huang Mi, Yu Xin, Sarbesh Kumar Jha, Deepak sigdel, Praveen kumar, Nagendra Prasad Yadav
Keywords
Related Articles
- EP ID EP432239
- DOI -
- Views 127
- Downloads 0
A Study on Fournier’s Gangrene
Introduction: Fournier’s gangrene is a fulminating, rapidly spreading infection which cause thrombosis of blood vessels which results in gangrene of scrotal skin. It affects all age groups and has been reported in both m...
International Journal of Contemporary Medical Research Volume 4 | Issue 8 | August 2017 | ICV: 77.83 | ISSN (Online): 2393-915X; (Print): 2454-7379 1642 Mycord Cellumax Technology for Umbilical Cord Blood Manual Processing
Cord blood transplantation have come up as life saving procedures in treating hematologic malignancies and these led to development of cord blood banking industries. The prime aim of Cord Blood banking is to collect, pro...
Impact of Obesity on Male Fertility in an Urban Nigerian Town
Introduction: Obesity is gradually becoming an epidemic disease that is rapidly spreading in both developed and developing countries. Recently it has been linked with fertility problems in men. The aim of this study is t...
Retrospective Study of Clinico- Immunological Progress of Human Immunodeficiencyvirus/Acquired Immune Deficiency Syndrome Patients on Antiretroviral Therapy at Central India
Introduction: Human immunodeficiency virus infection (HIV) remains a worldwide health crisis. Nearly 40 million people infected, 95% of them lives in developing countries like India, Africa etc. Aim of study is to assess...
Accidental Injection of Formalin in Dental Operatory: Case Report
Introduction: Dentist in riverside provides a friendly touch to their patients. Inspite of precautionary measures being taken during the various dental treatment procedures yet complications do occur. In Dentistry formal...