التفاصيل البيبلوغرافية
| العنوان: |
Treatment of malreduced pilon fracture: A case report and the result in the long-term follow-up |
| المؤلفون: |
Hakan Bahar, Yunus Emre Akman, Akif Albayrak, Mehmet Bulent Balioglu |
| المصدر: |
International Journal of Surgery Case Reports |
| بيانات النشر: |
Elsevier BV, 2016. |
| سنة النشر: |
2016 |
| مصطلحات موضوعية: |
musculoskeletal diseases, medicine.medical_specialty, Autologous bone graft, Long term follow up, Joint trauma, Case Report, Osteoarthritis, Tibial plafond, Pilon fracture, 03 medical and health sciences, 0302 clinical medicine, medicine, Intra-articular fracture, 030222 orthopedics, Transplantation, business.industry, Ankle injuries, Intra-articular fractures, 030229 sport sciences, musculoskeletal system, medicine.disease, Surgery, business |
| الوصف: |
Highlights • Tibial plafond fractures carry a high risk for post-traumatic osteoarthritis. • Tricortical iliac crest autologous bone grafting (TCG) avoided need for arthrodesis. • TCG with internal fixation restored joint stability, congruency and alignment. • TCG should be considered for whom biological restoration is feasible.
Introduction The risk for post-traumatic osteoarthritis (POA) following tibial plafond joint trauma has been reported to be as high as 70–75%. In the treatment of more severe joint pathologies, with incongruity and intra-articular defects, internal or external fixations techniques may be required. Presentation of case We report the orthopedic management of a pilon fracture in a 30-year-old male with malunion and implant failure after initial mal-reduction of the fracture 9-months earlier. Tricortical iliac crest autologous bone grafting (TCG) was used in combination with internal fixation to restore distal tibial articular. The procedure resulted in a pain free ankle, sufficient range of motion for function and patient satisfaction. Discussion Early surgical intervention and anatomical reduction with appropriate fixation are recommended for intra-articular tibial pilon fractures. Autogenous bone grafting is a reliable treatment option to augment structural stability, bone defects and bone-healing. Indications for bone grafting include delayed union or nonunion, malunion, arthrodesis, limb salvage, and reconstruction of bone voids or defects. The application of TCG in the management of a malreduced tibial plafond fracture has not been described before. Conclusion We performed TCG with internal fixation in order to restore stability, congruency and alignment in a young patient in whom a biological restoration was feasible due to good bone quality. In suitable cases, TCG might provide an alternative to arthrodesis or arthroplasty. |
| تدمد: |
2210-2612 |
| DOI: |
10.1016/j.ijscr.2015.12.024 |
| URL الوصول: |
https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a42bf6371e45dae0dc83a08ca3fd5c99 |
| Rights: |
OPEN |
| رقم الانضمام: |
edsair.doi.dedup.....a42bf6371e45dae0dc83a08ca3fd5c99 |
| قاعدة البيانات: |
OpenAIRE |