Article: Limited open reduction and Ilizarov external fixation in the treatment of distal tibial fractures

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TitleLimited open reduction and Ilizarov external fixation in the treatment of distal tibial fractures
AuthorsLeung, F1
Kwok, HY1
Pun, TS1
Chow, SP1
KeywordsAnkle
Articular reconstruction
Distal tibia
External fixation
Fracture
Hybrid fixation
Ilizarov
Intra-articular
Open reduction
Pilon
Issue Date2004
PublisherElsevier Ltd. The Journal's web site is located at http://www.elsevier.com/locate/injury
CitationInjury, 2004, v. 35 n. 3, p. 278-283 [How to Cite?]
DOI: http://dx.doi.org/10.1016/S0020-1383(03)00172-4
AbstractThe authors reviewed 31 distal tibial fractures (16 involving the tibial plafond) treated with Ilizarov external fixation. The study population was composed of 19 males and 12 females, with an average age of 54. The fractures were classified according to the AO classification: A1 (3), A2 (6), A3 (6), C1 (2), C2 (8), C3 (6). There were six open injuries. In 14 pilon cases, open reduction of the intra-articular fragments and bone grafting via a limited incision was performed. Clinical follow-up averaged 28 months (range 18-42). All but one fracture united with an average healing time of 13.9 weeks. Nearly all patients with AO type A fracture had excellent or good functional scores. The 14 cases of AO C2 and C3 group had five (38%) good results, five (38%) fair results and three (24%) poor results. This method yielded results comparable with previous studies using open reduction and internal fixation. Twenty-nine percent of the patients had pin track infection, which remained the most important complication of this method. © 2003 Elsevier Ltd. All rights reserved.
ISSN0020-1383
2011 Impact Factor: 1.975
2011 SCImago Journal Rankings: 0.096
DOIhttp://dx.doi.org/10.1016/S0020-1383(03)00172-4
ISI Accession Number IDWOS:000189229400012
ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorLeung, F
dc.contributor.authorKwok, HY
dc.contributor.authorPun, TS
dc.contributor.authorChow, SP
dc.date.accessioned2008-05-22T04:20:02Z
dc.date.available2008-05-22T04:20:02Z
dc.date.issued2004
dc.description.abstractThe authors reviewed 31 distal tibial fractures (16 involving the tibial plafond) treated with Ilizarov external fixation. The study population was composed of 19 males and 12 females, with an average age of 54. The fractures were classified according to the AO classification: A1 (3), A2 (6), A3 (6), C1 (2), C2 (8), C3 (6). There were six open injuries. In 14 pilon cases, open reduction of the intra-articular fragments and bone grafting via a limited incision was performed. Clinical follow-up averaged 28 months (range 18-42). All but one fracture united with an average healing time of 13.9 weeks. Nearly all patients with AO type A fracture had excellent or good functional scores. The 14 cases of AO C2 and C3 group had five (38%) good results, five (38%) fair results and three (24%) poor results. This method yielded results comparable with previous studies using open reduction and internal fixation. Twenty-nine percent of the patients had pin track infection, which remained the most important complication of this method. © 2003 Elsevier Ltd. All rights reserved.
dc.description.naturepostprint
dc.format.extent60313 bytes
dc.format.extent4064 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.identifier.citationInjury, 2004, v. 35 n. 3, p. 278-283 [How to Cite?]
DOI: http://dx.doi.org/10.1016/S0020-1383(03)00172-4
dc.identifier.doihttp://dx.doi.org/10.1016/S0020-1383(03)00172-4
dc.identifier.epage283
dc.identifier.hkuros85767
dc.identifier.isiWOS:000189229400012
dc.identifier.issn0020-1383
2011 Impact Factor: 1.975
2011 SCImago Journal Rankings: 0.096
dc.identifier.issue3
dc.identifier.openurl
dc.identifier.pmid15124796
dc.identifier.scopuseid_2-s2.0-1242293067
dc.identifier.spage278
dc.identifier.urihttp://hdl.handle.net/10722/48647
dc.identifier.volume35
dc.languageeng
dc.publisherElsevier Ltd. The Journal's web site is located at http://www.elsevier.com/locate/injury
dc.publisher.placeUnited Kingdom
dc.relation.ispartofInjury
dc.relation.referencesReferences in Scopus
dc.rightsInjury. Copyright © Elsevier Ltd.
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License
dc.subject.meshBone Wires
dc.subject.meshExternal Fixators
dc.subject.meshIlizarov Technique - instrumentation
dc.subject.meshEquipment Design
dc.subject.meshTibial Fracture - radiography - surgery
dc.subjectAnkle
dc.subjectArticular reconstruction
dc.subjectDistal tibia
dc.subjectExternal fixation
dc.subjectFracture
dc.subjectHybrid fixation
dc.subjectIlizarov
dc.subjectIntra-articular
dc.subjectOpen reduction
dc.subjectPilon
dc.titleLimited open reduction and Ilizarov external fixation in the treatment of distal tibial fractures
dc.typeArticle
Author Affiliations
  1. The University of Hong Kong