The indications and clinical necessity for routine hardware removal after treating ankle or distal tibia fracture with open reduction and internal fixation are disputed even when hardware-related pain is insignificant. J Clin Oncol. 1.5 years After I thought I’d start a new page for my current pilon fracture recovery situation. Intraarticular "pilon" fracture of the tibia. Chen SH, Wu PHLY. Rabin R, De Charro F. EQ-SD: a measure of health status from the EuroQol Group. What is the treatment for a pilon fracture? Osteonecrosis has been previously described after Weber C fracture-dislocations but has not been reported following fixation of pilon fractures. These classifications are less reproducible and do not provide necessary information for proper surgical planning. These are considered to represent 1-10% of all lower limb fractures 6. 2016;61:1393–1399. A pilon fracture is a type of break of the shinbone (tibia) that occurs near the ankle. Aim of the study is to (1) propose a new classification system based … 2009;42:377–381. Methods: A retrospective cohort analysis of pilon fractures treated at two centers between 1994 and 1995 was conducted. If you also had damaged tendons or ligaments, then those may take longer to heal. Tarkin IS, Clare MP, Marcantonio A, et al. In addition, there were differences in baseline characteristics between responders and nonresponders. In a study by Tornetta et al., the authors reviewed 22 pilon fractures, in which CT scans provided additional information and altered the operative plan in 82% and 64% of cases, respectively. Responses were collected and managed using REDCap (Research Electronic Data Capture). Baseline characteristics are depicted in Table 1 and Table 2 shows the fracture and treatment characteristics. Factors influencing functional outcomes of subtalar fusion for posttraumatic arthritis after calcaneal fracture. Pilon fractures were defined as Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association (AO/OTA) 43-B and 43-C fractures, excluding fractures deemed mainly tibial shaft with extension into the tibial plafond, and trimalleolar ankle fractures with the posterior malleolar fragment involving less than one-third of the articular surface. 21. Until the bones fully heal, the patient's leg and ankle cannot be stressed or worked too hard. functional outcome; ORIF; pilon fracture; quality of life; tibial fracture, You can login with your username or your email address along with your chosen password. In addition, low income and low level of education (both beyond the scope of our study) have been reported to be associated with HRQoL after pilon fractures negatively and these factors have also been associated with higher rates of daily smoking.[7,34,35]. Your account has been temporarily locked due to incorrect sign in attempts and will be automatically unlocked in Therefore, the results of the present study are not completely generalizable to all patients who suffer pilon fractures. 16. All rights reserved. Preoperative smoking status and postoperative complications: a systematic review and meta-analysis. METHODS: All AO/OTA 43-C pilon fractures from 2007 to 2018 were reviewed. Explaining socio-economic inequalities in daily smoking: a social-ecological approach. [29,37] Furthermore, it is possible that operative factors such as the quality of reduction affect outcomes. Routine follow up of major trauma patients from trauma registries: what are the outcomes? Data on demographics, body mass index (BMI), smoking status, diabetes, American Society of Anesthesiologists (ASA) score, mechanism of injury, fracture and treatment characteristics, and postoperative infections were extracted from electronic patient documentation. 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. Most of the time, it involves breaks in both the tibia and fibula of the lower leg. 2001;33:337–343. Perioperative smoking is associated with an increased risk of postoperative complications as well. Background: Tibial plafond fractures are a uncommon injury, and the outcomes described in literature are generally poor. Complications after treatment of tibial pilon fractures can occur intraoperatively or in the early or late postoperative period. PROMIS Physical Function scores had a median of 49 (IQR, 44–57), mean PROMIS PF score was 50 (standard deviation 7.8). Sorry, the specified email address could not be found. You may initially be required to walk with an assistive device like a walker or crutches after breaking your ankle. Adult patients (age >18 years) who underwent open reduction internal fixation (ORIF) for a tibial pilon fracture between January 2000 and December 2015 at 2 level 1 trauma centers were identified using the institution's research patient data registry and a combined hospital operative database. Ankle function measured using the Foot and Ankle Ability Measure, physical function using the Patient-Reported Outcomes Measurement System Physical Function (PROMIS PF, Short Form 10a) questionnaire and HRQoL using the EuroQol 5-Dimensions 3-Level (EQ-5D-3L) questionnaire. He is now 3 weeks from injury and … 20. The indications and clinical necessity for routine hardware removal after treating ankle or distal tibia fracture with open reduction and internal fixation are disputed even when hardware-related pain is insignificant. 4. 7 Months Post Op and 3 Months of “Walking”, An Update; Ankle dorsiflexion limited after 6 months post injury at 2 degrees. 2014;259:52–71. 2013;74:1363–1366. Davidovitch RI, Elkataran R, Romo S, et al. STATA 13.1 (StataCorp LP, TX) was used for the conduct of all statistical analyses. Int Orthop. A tibial pilon fracture is a break at the bottom or distal portion of the tibia, more commonly known as the shinbone. Get new journal Tables of Contents sent right to your email inbox, http://creativecommons.org/licenses/by-nc-nd/4.0, December 2019 - Volume 2 - Issue 4 - p e043, OTAI_2019_07_31_HENG_OTAI-D-19-00017_SDC1.docx; [Word] (17 KB), Long-term outcomes after operative treatment for tibial pilon fractures, Articles in PubMed by Quirine M.J. van der Vliet, MD, Articles in Google Scholar by Quirine M.J. van der Vliet, MD, Other articles in this journal by Quirine M.J. van der Vliet, MD. Ann Med. Outcomes after treatment of high-energy tibial plafond fractures. The term “pilon” comes from the French word for … 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). [2,4] High rates of infectious complications, posttraumatic arthritis, impaired union, nonunion, stiffness, and persistent pain after operative treatment of pilon fractures have been reported. New approaches are needed to objectively and reliably quantify early disease progression in order to critically assess the impact of interventions aimed at preventing or mitigating PTOA. Post-Surgery. Gronkjaer MM, Eliasen LS, Skov-Ettrup JS, et al. Tibial pilon fractures: a comparative clinical study of management techniques and results. FORE 2018 Orthopaedics for the Primary Care Practitioner & Rehabilitation Therapist. Working to gain mobility and strength after a fracture should be your main goal after a fracture. [3,8,15] Patients who underwent operative treatment for the pilon fracture at an outside facility, who had amputation of the operated foot or leg, who died during follow-up, were mentally impaired, or were unable to communicate in English, were excluded. . A pilon fracture is a type of break of the shinbone that happens near the ankle. OrthoIndy Trauma physicians are … 39. [21,25] The strength of correlations between the 3 different outcome measures was assessed using Pearson's correlation coefficient. Background/aim:Pilon fracture is difficult to treat fractures due to many complications that can develop after surgery. 2000;5:873–885. Depending on the severity of your pilon fracture, your recovery time may vary. To make the anatomy of the model complications after treatment of tibial fractures. Less reproducible and do not provide necessary information for proper surgical planning Privacy and Cookie Policy [ ]... 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