Treatment of AO/OTA 43-C3 Pilon Fracture: Be Aware of Posterior Column Malreduction.

Treatment of AO/OTA 43-C3 Pilon Fracture: Be Aware of Posterior Column Malreduction. Biomed Res Int. 2019;2019:4265782 Authors: Guan J, Huang M, Wang Q, Chen Y, Wang L Abstract Treatment of pilon fractures remains challenging due to the difficulty of fracture reduction and associated soft tissue complications. The aim of this study was to evaluate the pitfalls and strategies of posterior column reduction in the treatment of complex tibial pilon fractures (AO/OTA 43-C3). Thirteen AO/OTA classification 43-C3 type pilon fractures treated between January 2013 and January 2016 were retrospectively analyzed. Nine cases were treated by external fixation within 26 hours (range, 6-56 hours) after injury. The definitive open reduction and internal fixation (ORIF) was performed after the wound was healed without infection and soft tissue swelling had subsided. During the delayed/second-stage operation, the articular surface of the distal tibial plafond was reduced through the posterolateral and anterior approaches. X-ray and CT scans were performed pre- or postoperatively. The reduction quality was evaluated using Burwell-Charnley's radiographic criteria. The follow-up was performed routinely and all complications were recorded. Ankle function was evaluated using the American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot score. During the delayed/second-stage operation, primary reduction of the posterior column was performed entirely...
Source: Biomed Res - Category: Research Authors: Tags: Biomed Res Int Source Type: research