Open reduction with internal fixation versus limited internal ... | 合法醫療器材資訊網

由RIDavidovitch著作·2011·被引用104次—Openreductionwithinternalfixationversuslimitedinternalfixationandexternalfixationforhighgradepilonfractures(OTAtype43C).FootAnkleInt.2011Oct ...

Background: The optimal treatment for high energy pilon fractures is controversial. Good clinical and functional results have been reported with traditional open reduction techniques and minimally invasive techniques utilizing external fixation (EF). The purpose of this study was to critically evaluate clinical, radiographic and functional outcomes following high-energy fractures of the tibial plafond.

Methods: Between 2000 and 2006, 62 patients who were diagnosed with 63 Type 43C pilon fractures were treated surgically by a single surgeon and retrospectively reviewed. Twenty-seven patients were treated with a hinged bridging external fixator (EF) with supplemental limited internal fixation and 35 were treated with open reduction and internal fixation (ORIF) utilizing traditional smal...