Study Of Complex Tibial Plafond Fractures Treated By Delayed Single Stage Procedure - Prospective Study
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Date
2024-04
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INDIAN SOCIETY FOR HEALTH AND ADVANCED RESEARCH
Abstract
Background: Tibial Pilon fractures are the most severe ankle joint injuries. Pilon injuries are relatively rare and constitute only 5% to 10% of all tibial fractures. Most Pilon fractures are caused by high- energy trauma and are usually associated with articular communication and severe soft tissue injury, making management extremely difficult for foot and ankle surgeons. Delayed single stage procedure and two stage open reduction and internalAims And Objectives: fixation are the two commonly used surgical methods in management of tibial Plafond fracture. Surgery by Delayed Single stage procedure shows better outcome compared to two stage Procedure. So we advice these modified surgical procedure suitable to our hospital scenario. Source for this study: It is a prospective study done during theMethods- period between May 2022 to August 2023 in department of orthopaedics at our teaching hospital . A total of 12 patients who underwent delayed single stage procedure followed for a period of 18 months. Among which 10 patients are men and two patients are women. Fractures with right leg in 8 people and left leg with 4 people .Mean age of patients was 20- 65 yrs of age. Trauma energy was defined as high velocity injury. Pilon fractures account for 1% of all fractures.Results: There is debate in the literature about its treatment. In this study, we analysed important parameters in the surgical treatment of these fractures to study possible correlations among them and how they correlate to functional results, complications and sequelae. The quality of anatomic reduction is the most important parameter in the management of these fractures. Anatomical reduction of these fractures are associated with better outcome. Pilon fracturesConclusion: are usually because of high velocity trauma associated with soft tissue injury hence we advised treatment by delayed single stage procedure.Delayed single stage surgical procedure are convenient, acceptable to our low socio-economic patients, reduced hospital stay, avoid repeated admissions, decreased morbidity, lower risk of anaesthesia complications, post operative infections, less chances of non union and better bone healing for complex tibial Plafond Fractures. As soft tissue coverage is very minimal in ankle region there is increased incidence of woundAdvice: dehiscence, infection, implant failure so we wait till appearance of wrinkle over wound site, soft tissue healing and plan for definite management.
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Keywords
tibial pilon fractures, distal tibial fractures, ankle fractures, soft tissue management
Citation
Mogileesh, Abdul Ashish, Chetan, Babu Chandra Sekhar . Study Of Complex Tibial Plafond Fractures Treated By Delayed Single Stage Procedure - Prospective Study . Paripex - Indian Journal Of Research. 2024 Apr; 13(4): 29-31