Ahmed, H., Ali(*), M., Elsayed, M., Salama, W., Mosa, S. (2020). FIXATION OF PILON FRACTURE & COMMINUTED DISTAL TIBIAL FRACTURES WITH TRIANGULAR EXTERNAL FIXATOR. Egyptian Journal of Orthopedic Research, 1(1), 33-37. doi: 10.21608/ejor.2020.161922
Ahmed, H., Ali(*), M., Elsayed, M., Salama, W., Mosa, S. (2020). 'FIXATION OF PILON FRACTURE & COMMINUTED DISTAL TIBIAL FRACTURES WITH TRIANGULAR EXTERNAL FIXATOR', Egyptian Journal of Orthopedic Research, 1(1), pp. 33-37. doi: 10.21608/ejor.2020.161922
Ahmed, H., Ali(*), M., Elsayed, M., Salama, W., Mosa, S. FIXATION OF PILON FRACTURE & COMMINUTED DISTAL TIBIAL FRACTURES WITH TRIANGULAR EXTERNAL FIXATOR. Egyptian Journal of Orthopedic Research, 2020; 1(1): 33-37. doi: 10.21608/ejor.2020.161922
FIXATION OF PILON FRACTURE & COMMINUTED DISTAL TIBIAL FRACTURES WITH TRIANGULAR EXTERNAL FIXATOR
Orthopedic Surgery dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt
Abstract
Treatment of Pilon fractures and comminuted distal tibia fractures represent a great challenge for surgeons. There are different methods of fixation with several complications including osteoarthritis and skin compromise. 20 adult patients with pilon fracture & comminuted distal tibial fractures admitted in orthopedics and traumatology department of academic level 1 trauma center who were treated by triangular external fixator. Patients with pathological fracture, pre-existing ankle arthritis, previous fracture around the ankle and prolonged use of steroids were excluded. Clinical and functional evaluation was done using Olerud and Molander ankle score and radiological evaluation was done at 6 weeks, 3 months and 6 months follow up. The average age was 39 (16 – 70) years old. 13 male patients. 16 patients of them had pilon fractures & 4 of them had Extraarticular comminuted distal tibial fractures. 12 of them had simple fractures and 8 had compound fractures. The average time of healing was 3 months. 5 patients (25%) showed excellent results, 9 patients (45%) showed good results and 6 patients (30%) showed fair results. Triangular external fixator is a good option in treatment of pilon and comminuted distal tibia fracture with good functional outcome and lower complication rate.
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