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Treatment of Tibial Pilon Fractures using Ring Fixators and Arthroscopy

Authors
 HAK-SUN KIM  ;  JUN-SEOP JAHNG  ;  SANG-SOO KIM  ;  CHURL-HONG CHUN  ;  HONG-JUN HAN 
Citation
 CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, Vol.334 : 244-250, 1997 
Journal Title
 CLINICAL ORTHOPAEDICS AND RELATED RESEARCH 
ISSN
 0009-921X 
Issue Date
1997
MeSH
Adolescent ; Adult ; Algorithms ; Arthroscopy* ; External Fixators* ; Female ; Humans ; Male ; Middle Aged ; Radiography ; Range of Motion, Articular ; Tibial Fractures/classification ; Tibial Fractures/diagnostic imaging ; Tibial Fractures/surgery ; Tibial Fractures/therapy* ; Treatment Outcome
Abstract
Twenty-one patients with tibial pilon fractures were treated with ring fixators and arthroscopy. There were 2 Type I, 14 Type II, and 5 Type III fractures using the Ruedi classification. In Ruedi Types I and II fractures, ring fixators were applied to the tibia and foot, and closed reduction was performed, monitoring the quality of the reduction with an image intensifier. When the quality of the reduction was questionable, arthroscopy was used, and if necessary, the reduction was readjusted. Olive wires were used to achieve reduction and fixation. In all Ruedi Type III fractures and 4 Ruedi Type II injuries, a limited open reduction was performed instead of arthroscopy. Approximately 8 weeks after the operation, the foot mounting was removed. The ring fixators were removed between 16 and 28 weeks. Bony union was achieved in all but 1. At an average followup of 37 months, there were 15 good, 4 fair, and 2 poor results. There were 8 cases of pin tract infection, and 1 patient had loss of reduction. There were no cases of deep wound infection. It was concluded that ring fixator and adjunctive arthroscopy is safe and effective in the management of tibial pilon fractures.
Full Text
https://ovidsp.dc2.ovid.com/sp-4.03.0b/ovidweb.cgi?WebLinkFrameset=1&S=JCALFPNDDOEBBOGLIPBKGFEHNMPLAA00&returnUrl=ovidweb.cgi%3fMain%2bSearch%2bPage%3d1%26S%3dJCALFPNDDOEBBOGLIPBKGFEHNMPLAA00&fromjumpstart=0&directlink=https%3a%2f%2fovidsp.dc2.ovid.com%2fovftpdfs%2fFPEBIPEHGFGLDO00%2ffs046%2fovft%2flive%2fgv023%2f00003086%2f00003086-199701000-00031.pdf&filename=Treatment+of+Tibial+Pilon+Fractures+Using+Ring+Fixators+and+Arthroscopy.&link_from=jb.search.37%7c1&pdf_key=FPEBIPEHGFGLDO00&pdf_index=/fs046/ovft/live/gv023/00003086/00003086-199701000-00031&D=ovft&link_set=jb.search.37
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hak Sun(김학선) ORCID logo https://orcid.org/0000-0002-8330-4688
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/177293
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