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Primary Ankle Arthrodesis for Severely Comminuted Tibial Pilon Fractures
Orthopedics • 2017
Publication Information
Authors
Mohamed E. Al-Ashhab
Keywords
Not Available
Journal
Orthopedics
Publisher
Not Available
Volume
40
Issue
2
Pages
e378-e381.]
publication.type
International
Paper Link
Not Available
Supplementary Materials
Not Available
Abstract
Management of severely comminuted, complete articular
tibial pilon fractures (Rüedi and Allgöwer type III) remains
a challenge, with few treatment options providing good
clinical outcomes. Twenty patients with severely comminuted
tibial pilon fractures underwent primary ankle arthrodesis with
a retrograde calcaneal nail and autogenous fibular bone graft.
The fusion rate was 100% and the varus malunion rate was
10%. Fracture union occurred at a mean of 16 weeks (range,
13-18 weeks) postoperatively. Primary ankle arthrodesis is a
successful method for treating highly comminuted tibial pilon
fractures, having a low complication rate and a high satisfaction
score.
tibial pilon fractures (Rüedi and Allgöwer type III) remains
a challenge, with few treatment options providing good
clinical outcomes. Twenty patients with severely comminuted
tibial pilon fractures underwent primary ankle arthrodesis with
a retrograde calcaneal nail and autogenous fibular bone graft.
The fusion rate was 100% and the varus malunion rate was
10%. Fracture union occurred at a mean of 16 weeks (range,
13-18 weeks) postoperatively. Primary ankle arthrodesis is a
successful method for treating highly comminuted tibial pilon
fractures, having a low complication rate and a high satisfaction
score.