ABSTRACT Background: treatment of pilon fractures is challenging and the appropriate method is still uncertain. Purpose: detection of the best modality for the treatment of pilon fractures Patients and Methods: This prospective study was conducted on 40 patients with pilon fractures. The patients were subdivided into 3 groups; Group A: 12 patients underwent two staged techniques (temporary DFF followed by later ORIF), and Group B: 8 patients underwent one-stage fixation with primary IF. Group C: 20 patients underwent one-stage fixation with Primary ORIF. The mean follow-up time is 12 (10-17) months. Results: The adequacy of anatomical reduction was significantly higher in group C than in groups A and B. The union rate was 97.5%. The union time was insignificantly different between the studied groups. Conclusion: One-stage surgery using the Ilizarov fixator is the best treatment for all open and closed type RA III pilon fractures and is more successful than one-step ORIF surgery due to the potential for wound complications. One-stage surgery using ORIF is the ideal option for closed pilon fracture RA I and II with mild oedema. Two-stage surgery is reliable for open fracture RA I and III.
Yassin, E., Awad, A. E., Elrefae, H., & hussein, M. (2023). The outcome of pilon fracture management using different fixation modalities. Aswan University Medical Journal, 3(2), 255-268. doi: 10.21608/aumj.2023.255278.1093
MLA
Ebied Yassin; Abd El-Rahman Anwer Awad; Hesham Elrefae; mohamed adbelmoneim hussein. "The outcome of pilon fracture management using different fixation modalities". Aswan University Medical Journal, 3, 2, 2023, 255-268. doi: 10.21608/aumj.2023.255278.1093
HARVARD
Yassin, E., Awad, A. E., Elrefae, H., hussein, M. (2023). 'The outcome of pilon fracture management using different fixation modalities', Aswan University Medical Journal, 3(2), pp. 255-268. doi: 10.21608/aumj.2023.255278.1093
VANCOUVER
Yassin, E., Awad, A. E., Elrefae, H., hussein, M. The outcome of pilon fracture management using different fixation modalities. Aswan University Medical Journal, 2023; 3(2): 255-268. doi: 10.21608/aumj.2023.255278.1093