La fissazione esterna nelle fratture del pilone tibiale
Tóm tắt
Tibial pilon fractures pose a difficult challenge for the orthopaedic surgeon. Frequently, in addition to the complexity of the fracture, there is an important involvement of soft tissues. The goal of treatment is to obtain a reconstruction respecting the soft tissue to prevent dangerous complications. External fixation can be used in case of open fractures as well as a first step in a two-stage treatment, and in selected cases as definitive synthesis associated with minimally invasive techniques.
Tài liệu tham khảo
Bone LB (1987) Fractures of the tibial plafond. The Pilon fracture. Orthop Clin North Am 18:95–104
Mast JW, Spiegel PG, Pappas JN (1988) Fractures of the tibial pilon. Clin Orthop Relat Res 230:68–82
Mandracchia VJ, Evans RD, Nelson SC et al. (1999) Pilon fractures of the distal tibia. Clin Pediatr Med Surg 16:743–767
Baumhauer J, Geppert MJ, Michelson JD, Walling AK (2002) Ankle and foot: trauma. In: Koval KJ (ed) Orthopaedic knowledge update 7. Am Acad Orthopaed Surg, Rosemont, IL, pp 547–564
Teeny SM, Wiss DA (1993) Open reduction and internal fixation of tibial plafond fracture. Variables contributing to poor result and complications. Clin Orthop Relat Res 292:108–117
Kellam JF, Waddel JP (1979) Fractures of the distal tibia metaphysis with intra-articular-extension-the distal tibial explosion fracture. J Trauma 19:593–601
Pollak AN, McCarthy ML, Bess RS et al. (2003) Outcomes after treatment of high-energy tibial plafond fractures. J Bone Jt Surg 85-A:1893–1900
Rüedi TP, Allgöwer M (1969) Fractures of the lower end of the tibia into the ankle-joint. Injury 1(2):92–99
Wyrsch B, McFerran MA, McAndrew M et al. (1996) Operative treatment of fractures of the tibial plafond. A randomized, prospective study. J Bone Jt Surg Am 78:1646–1657
Anglen JO (1999) Early outcome of hybrid external fixation in the treatment of distal tibia. J Orthop Trauma 13:92–97
Pugh KJ, Wolinsky PR, McAndrew MP, Johnson KD (1999) Tibial pilon fractures: a comparison of treatment methods. J Trauma 47:937–941
Blauth M, Bastian L, Krettek C et al. (2001) Surgical options for the treatment of severe tibial pilon fractures: a study of three techniques. J Orthop Trauma 15:153–160
Sirkin M, Sanders R, Di Pasquale T et al. (1999) A staged protocol for soft tissue management in the treatment of complex pilon fractures. J Orthop Trauma 13:78–84
Crist BD, Khazzam M, Murtha YM, Della Rocca GJ (2011) Pilon fractures: advances in surgical management. J Am Acad Orthop Surg 19:10
Ruedi T, Murphy WM (2000) AO principles of fracture management, vol 1. Thieme, Stuttgart
Archdeacon MT (2013) Current plating techniques and definitive treatment option for fractures of the tibial plafond. Minimally invasive e percutaneous ORIF of pilon fractures. In: AAOS instructional course, lecture handout, 272
Topliss CJ, Jackson M, Atkins RM (2005) Anatomy of pilon fractures of the distal tibia. J Bone Jt Surg Br 87:692–697
Rhorer AS (2013) Definitive fixation of pilon fractures with external fixation. In: AAOS instructional course, lecture handout, 272
Marsh JL, Muehling V, Dirschl D et al. (2006) Tibial plafond fractures treated by articulated external fixation: a randomized trial of postoperative motion versus nonmotion. J Orthop Trauma 20(8):536–541