2007;21 (10 suppl):S1–S133. Osteonecrosis has been previously described after Weber C fracture-dislocations but has not been reported following fixation of pilon fractures. Cole PA, Mehrle RK, Bhandari M, Zlowodzki M. The pilon map: fracture lines and comminution zones in OTA/AO type 43C3 pilon fractures. The purposes were to determine the effect of the tibial plafond fractures on general health-related quality of life, and to examine the factors that influence these outcomes. Culture-negative infection after operative fixation of fractures. Patients were also invited for new clinical and radiological assessments. The use of the brace could vary from 10 days to 6 weeks. The immobilisation after the fixation of the tibial plateau fractures applies only to the internal fixation surgical option and includes the use of a hinged knee brace. Introduction: Facture and Dislocation Classification Compendium-2018: International Comprehensive Classification of Fractures an Dislocations Committee. 30. All 3 outcome metrics were correlated; FAAM and PROMIS PF (correlation coefficient = 0.79, P < .001), FAAM and EQ-5D-3L (correlation coefficient = 0.69, P < .001), and PROMIS PF and EQ-5D-3L (correlation coefficient=0.50, P < .001). 2007;45:1162–1170. Wolters Kluwer Health In multivariable regression analyses, higher BMI, deep infection, and lower HRQoL (assessed using the EQ-5D-3L) were found to be independently associated with worse ankle function measured with the FAAM (Table 4). Deep infection was defined as any type of infection at the surgical site that demanded operative treatment, according to the treating surgeon based on clinical signs with or without positive cultures. Int Orthop. Perioperative smoking is associated with an increased risk of postoperative complications as well. 7. Foot Ankle Int. Intra-articular tibial plafond fractures are a challenge for the surgeon with generally poor functional outcomes. Most of the time, high-impact injury breaks both bones of the lower leg. 15. BMI was only considered when reported within a range of 6 months prior to or after ORIF. Complications after treatment of tibial pilon fractures: prevention and management strategies. Baseline characteristics between responders and nonresponders were compared using Chi-squared and Mann–Whitney tests. Hill CE. 23. [26] A 2-tailed P value of < .05 was considered statistically significant. HRQoL was significantly lower compared to a reference population (P < .001). Background/aim:Pilon fracture is difficult to treat fractures due to many complications that can develop after surgery. Preoperative smoking status and postoperative complications: a systematic review and meta-analysis. 2008;39:142–154. 4. STATA 13.1 (StataCorp LP, TX) was used for the conduct of all statistical analyses. You may initially be required to walk with an assistive device like a walker or crutches after breaking your ankle. 27(7):e152-6. 25. 2006;26:410–420. A pilon fracture is a type of break of the shinbone (tibia) that happens near the ankle. Main prognostic factors of worse SF36 were fracture severity, reduction quality and arthrosis. The orthopaedic surgeon's evaluation usually comes after a fracture has been diagnosed. 2014;259:52–71. Fractures of the tibial plafond. Baseline characteristics are depicted in Table 1 and Table 2 shows the fracture and treatment characteristics. US valuation of the EQ-5D health states: development and testing of the D1 valuation model. It is important to counsel patients about the severity of their injury and potential long-term outcomes in order to set realistic expectations. Pilon fractures are usually the result of high energy and axial loading. 12. 1. The ATLS Subcommittee and the International ATLS working group AC of SC on TAdvanced trauma life support (ATLS®): the ninth edition. Ankle arthritis occurs in up to 40% of people with pilon fractures. This study was conducted on 80 consecutive cases (78 patients) treated by surgery and hardware removal after bony u… Unfortunately, this was beyond the scope of our study and long-term postoperative imaging was not available for a sufficient amount of the included patients (as this study was conducted at 2 tertiary referral centers with many patients not receiving routine follow-up at these institutions). Long-term ankle functioning was found to be around 75% of full function, with nearly half of all patients experiencing problems in walking about. 2007;45:3–11. The item(s) has been successfully added to ", This article has been saved into your User Account, in the Favorites area, under the new folder. Therapy is necessary to regain motion, decrease inflammation and swelling, as well to regain strength in the ankle. [21,22] The EQ-5D-3L questionnaire is a standardized instrument to measure generic health based on the level of experienced problems (no problems/some or moderate problems/extreme problems) at the 5 dimensions of mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. , James D. Heckman PT, editor distal tibial plafond fractures are injuries! And strength after a fracture Angelini a, Zamperetti M, Alvarez C, Vasario,. Problems in walking about 30 mins early sequela of tibial pilon fractures a! And nonresponders were compared using Chi-squared and Mann–Whitney tests reduced life after pilon fracture overall deviance of the tibia: a retrospective analysis! 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