Hybrid external fixation via a minimally invasive method for tibial pilon fractures -Technical note

dc.authorid0000-0002-8053-2239
dc.authorid0000-0003-3976-9530
dc.authorid0000-0001-8437-5405
dc.authorid0000-0001-6742-8464
dc.contributor.authorBülbül, Murat
dc.contributor.authorKuyucu, Ersin
dc.contributor.authorSay, Ferhat
dc.contributor.authorKara, Adnan
dc.contributor.authorErdil, Mehmet Emin
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:36:55Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:36:55Z
dc.date.issued2015
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractIntroduction: We aimed to present the clinical and radiological outcomes of patients with tibial pilon fractures who were treated with hybrid external fixators. Shanz screws were applied synchronously and used as joysticks for fracture reduction. Radiological evaluations were conducted on roentgenograms at the second week, sixth week, third month and first year. Material and methods: The study group included 42 patients with tibial pilon fractures that were classified as 43C according to the AO/OTA classification system. We used 2-hydroxyapatite-coated Schanz screws for the tibial pilon reduction. Schanz screws fixated to two separate motors were synchronously passed through the fracture fragments. An external fixator was applied after the fracture was stabilized with Schanz screws. Results and discussion: The mean operation duration was 45 min Fracture healing was observed in all patients, and the mean fracture healing time was 17 (range, 12-32 weeks) weeks. The mean lateral distal tibial angle was 89°. Joint surface irregularity was not observed in any patient. All of the patients had 0-15° of ankle dorsiflexion. None of the patients had restricted ankle plantar flexion. No wound complications were observed. According to the AOFAS scoring system, the clinical evaluation was excellent in 26 patients, good in 14 patients and fair in 2 patients. Malunion and nonunion may necessitate additional surgical procedures, delay the return to activities of daily living, and increase treatment costs. Good alignment was achieved, with a mean lateral distal tibial angle of 89 (range, 84-92) degrees. Conclusion: Permanent hybrid external fixator applied using Schanz screws via a mini open technique is a fast, easily applied alternative with low morbidity and satisfying results.
dc.identifier.citationBülbül, M., Kuyucu, E., Say, F., Kara, A. ve Erdil, M. E. (2015). Hybrid external fixation via a minimally invasive method for tibial pilon fractures -Technical note. Annals of Medicine and Surgery, 4(4), 341-345. https://dx.doi.org/10.1016/j.amsu.2015.09.006
dc.identifier.doi10.1016/j.amsu.2015.09.006
dc.identifier.endpage345
dc.identifier.issn2049-0801
dc.identifier.issue4
dc.identifier.scopusqualityQ3
dc.identifier.startpage341
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1287
dc.identifier.urihttps://dx.doi.org/10.1016/j.amsu.2015.09.006
dc.identifier.volume4
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier
dc.relation.ispartofAnnals of Medicine and Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectExternal Fixators
dc.subjectSequelae
dc.subjectTibial Fracture
dc.titleHybrid external fixation via a minimally invasive method for tibial pilon fractures -Technical note
dc.typeArticle

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