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161922

FIXATION OF PILON FRACTURE & COMMINUTED DISTAL TIBIAL FRACTURES WITH TRIANGULAR EXTERNAL FIXATOR

Article

Last updated: 23 Jan 2023

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Abstract

Treatment of Pilon fractures and comminuted distal tibia fractures represent a great challenge for surgeons. There are different methods of fixation with several complications including osteoarthritis and skin compromise. 20 adult patients with pilon fracture & comminuted distal tibial fractures admitted in orthopedics and traumatology department of academic level 1 trauma center who were treated by triangular external fixator. Patients with pathological fracture, pre-existing ankle arthritis, previous fracture around the ankle and prolonged use of steroids were excluded. Clinical and functional evaluation was done using Olerud and Molander ankle score and radiological evaluation was done at 6 weeks, 3 months and 6 months follow up. The average age was 39 (16 – 70) years old. 13 male patients. 16 patients of them had pilon fractures & 4 of them had Extraarticular comminuted distal tibial fractures. 12 of them had simple fractures and 8 had compound fractures. The average time of healing was 3 months. 5 patients (25%) showed excellent results, 9 patients (45%) showed good results and 6 patients (30%) showed fair results. Triangular external fixator is a good option in treatment of pilon and comminuted distal tibia fracture with good functional outcome and lower complication rate.

DOI

10.21608/ejor.2020.161922

Keywords

Pilon, Distal tibia, Triangular external fixator

Authors

First Name

Hassan

Last Name

Ahmed

MiddleName

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Affiliation

Orthopedic Surgery dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

Email

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City

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Orcid

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First Name

Mohamed

Last Name

Ali(*)

MiddleName

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Affiliation

Orthopedic Surgery dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

Email

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City

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Orcid

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First Name

Moustafa

Last Name

Elsayed

MiddleName

-

Affiliation

Orthopedic Surgery dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

Email

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City

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Orcid

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First Name

Wael

Last Name

Salama

MiddleName

-

Affiliation

Orthopedic Surgery dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

Email

waeladel582@gmail.com

City

-

Orcid

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First Name

Shazly

Last Name

Mosa

MiddleName

-

Affiliation

Orthopedic Surgery dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

Email

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City

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Orcid

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Volume

1

Article Issue

1

Related Issue

23715

Issue Date

2020-05-01

Receive Date

2020-02-02

Publish Date

2020-05-01

Page Start

33

Page End

37

Print ISSN

2682-4744

Online ISSN

2314-6710

Link

https://ejor.journals.ekb.eg/article_161922.html

Detail API

https://ejor.journals.ekb.eg/service?article_code=161922

Order

5

Type

Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

Type Code

1,828

Publication Type

Journal

Publication Title

Egyptian Journal of Orthopedic Research

Publication Link

https://ejor.journals.ekb.eg/

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Article

Created At

23 Jan 2023