Downloads: 157 | Views: 416
Research Paper | Medical Surgical | India | Volume 7 Issue 7, July 2018 | Rating: 6.7 / 10
Tibial Pilon Fractures: What Factors Influence Fixation?
Amarjeet Singh, John Muhammad
Abstract: Abstract Purpose The aim of our study was to assess the factors influencing the choice of approach and type of fixation Methods A prospective study was done of 90 patients was done at Govt Medical College and Hospital Jammu from Oct 2016 to Dec 2017. Patients were divided into two subgroups regarding surgical approach (medial vs anterior) and fixation method (bridge plating vs rigid fixation). Time from injury to full bone union was noted, and clinical outcome was assessed by AOFAS score. Results Non-union was the most prevalent complication and was observed in 26.6% of patients. Infection rate was 11.1 %. Higher rate of bone union related complications was noted in the anterior approach group with anterolateral anatomical plate. Infection and re-operation rates were similar in all subgroups. There were no correlations between fracture extensions, length of plate and screw placement with bone healing time and AOFAS score. Conclusions Outcome of plate fixation of distal tibia fracture did not depend on the fixation method or surgical approach but, when possible, the medial plating via MIPO technique is a favourable method of treatment.
Keywords: Bridge Plating, Rigid Fixation ,Bone healing
Edition: Volume 7 Issue 7, July 2018,
Pages: 326 - 329