The Outcomes of Pilon Fracture Treatment: Primary Open Reduction and Internal Fixation Versus Twostage Approach

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MINATOR SAJJADI MOHAMMADREZA; EBRAHIMPOUR ADEL; Okhovatpour Mohammad A.; KARIMI AMIN; ZANDI REZA; Sharifzadeh Amir

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Journal: ARCHIVES OF BONE AND JOINT SURGERY Year:2018 | Volume:6 | Issue:5 Page(s): 412-419

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Title

The Outcomes of Pilon Fracture Treatment: Primary Open Reduction and Internal Fixation Versus Twostage Approach

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Keywords

External fixation

Infection

Open reduction internal fixation

Pilon fracture

Two-stage surgery

Abstract

Background: Pilon fracture is one of the challenging injuries in orthopedic surgery. Associated soft tissue injury is an important factor in choosing treatment options. Two major methods of treatment are considered as one-stage open reduction internal fixation (ORIF) and two-stage treatment (primary external fixation and secondary ORIF). The latter is most accepted in literature. In the current study, we compared the results of these two methods. Methods: In a retrospective study, 41 patients were assigned to two groups containing one-stage primary ORIF (21 patients) group, and two-stage group included external fixation and secondary ORIF (20 patients). The rate of infection (superficial or deep infection, osteomyelitis), malunion, nonunion, duration of hospital stay, neurovascular injury, pain intensity, and patients’ satisfaction with AOFAS score, were compared between the two groups. Results: There was no significant difference between the two groups in measured variables except hospital stay which was significantly longer for the two-stage group. Conclusion: Based on our findings, we recommend using one stage ORIF for a patient with Pilon fract

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APA: Copy

MINATOR SAJJADI, MOHAMMADREZA, EBRAHIMPOUR, ADEL, Okhovatpour, Mohammad A., KARIMI, AMIN, ZANDI, REZA, & Sharifzadeh, Amir. (2018). The Outcomes of Pilon Fracture Treatment: Primary Open Reduction and Internal Fixation Versus Twostage Approach. THE ARCHIVES OF BONE AND JOINT SURGERY, 6(5), 412-419. SID. https://sid.ir/paper/350149/en

Vancouver: Copy

MINATOR SAJJADI MOHAMMADREZA, EBRAHIMPOUR ADEL, Okhovatpour Mohammad A., KARIMI AMIN, ZANDI REZA, Sharifzadeh Amir. The Outcomes of Pilon Fracture Treatment: Primary Open Reduction and Internal Fixation Versus Twostage Approach. THE ARCHIVES OF BONE AND JOINT SURGERY[Internet]. 2018;6(5):412-419. Available from: https://sid.ir/paper/350149/en

IEEE: Copy

MOHAMMADREZA MINATOR SAJJADI, ADEL EBRAHIMPOUR, Mohammad A. Okhovatpour, AMIN KARIMI, REZA ZANDI, and Amir Sharifzadeh, “The Outcomes of Pilon Fracture Treatment: Primary Open Reduction and Internal Fixation Versus Twostage Approach,” THE ARCHIVES OF BONE AND JOINT SURGERY, vol. 6, no. 5, pp. 412–419, 2018, [Online]. Available: https://sid.ir/paper/350149/en

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