Comparison of External Circular Fixation and Plate and Screw Fixation Methods in Tibial Pilon Fractures.
| Autor: | Schueda MA; Serviço de Ortopedia e Traumatologia, Hospital do Coração Balneário Camboriú, Balneário Camboriú, SC, Brasil.; Serviço de Ortopedia e Traumatologia, Hospital e Maternidade Marieta Konder Bornhausen, Itajaí, SC, Brasil., Gubert LM; Serviço de Ortopedia e Traumatologia, Hospital e Maternidade Marieta Konder Bornhausen, Itajaí, SC, Brasil.; Serviço de Ortopedia, Hospital Unimed Litoral, Balneário Camboriú, SC, Brasil., Dal Vesco YC; Serviço de Ortopedia e Traumatologia, Hospital e Maternidade Marieta Konder Bornhausen, Itajaí, SC, Brasil., Dal Piva FF; Serviço de Ortopedia e Traumatologia, Hospital e Maternidade Marieta Konder Bornhausen, Itajaí, SC, Brasil., Niada FG; Serviço de Ortopedia e Traumatologia, Hospital do Coração Balneário Camboriú, Balneário Camboriú, SC, Brasil.; Serviço de Ortopedia e Traumatologia, Hospital e Maternidade Marieta Konder Bornhausen, Itajaí, SC, Brasil., Mehanna RF; Serviço de Ortopedia e Traumatologia, Hospital e Maternidade Marieta Konder Bornhausen, Itajaí, SC, Brasil. |
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| Jazyk: | angličtina |
| Zdroj: | Revista brasileira de ortopedia [Rev Bras Ortop (Sao Paulo)] 2024 Dec 07; Vol. 59 (5), pp. e663-e671. Date of Electronic Publication: 2024 Dec 07 (Print Publication: 2024). |
| DOI: | 10.1055/s-0044-1790213 |
| Abstrakt: | Objective To compare the fixation methods for tibial pilon fractures among patients treated in a hospital. Methods We analyzed the medical records of 28 patients who underwent a surgical procedure for tibial pilon fracture, among whom 15 subjects received a circular external fixator, and 13 underwent internal fixation using a plate and screws. We assessed age, sex, aggravating factors, trauma energy (high or low), presence of soft tissue injuries, associated fractures, and clinical outcomes. Results Most patients were male, aging between 40 and 60 years. The most common trauma mechanism was car accident, and the associated injury was a fracture of the distal third of the fibula. The fracture patterns in patients treated with a circular external fixator were AO 43C3 and 43C2. As for the prevalent fracture patterns in the internal fixation group, we identified AO 43C1, 43C2, and 43C3. Conclusion An individualized therapeutic choice is critical for a better functional outcome. Additionally, it is essential to highlight that the profile of fractures and patients in the circular external fixator and internal fixation groups tends to be quite heterogeneous, because the treatment of fractures with the worst classification and most frequently associated with soft tissue injuries often uses circular external fixation; meanwhile, those with less severe fractures and a lower incidence of soft tissue injuries are usually managed with open reduction and internal fixation. We noted that the clinical and radiographic outcomes tended to be similar between both groups despite the particularities of each method. Competing Interests: Conflito de Interesses Os autores não têm conflito de interesses a declarar. (The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit ( https://creativecommons.org/licenses/by/4.0/ ).) |
| Databáze: | MEDLINE |
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