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International Orthopaedics
Published in: International Orthopaedics 4/2009

01-08-2009 | Original Paper

Minimally-invasive treatment of high velocity intra-articular fractures of the distal tibia

Authors: M. Leonard, P. Magill, G. Khayyat

Published in: International Orthopaedics | Issue 4/2009

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Abstract

The pilon fracture is a complex injury. The purpose of this study was to evaluate the outcome of minimally invasive techniques in management of these injuries. This was a prospective study of closed AO type C2 and C3 fractures managed by early (<36 hours) minimally invasive surgical intervention and physiotherapist led rehabilitation. Thirty patients with 32 intra-articular distal tibial fractures were treated by the senior surgeon (GK). Our aim was to record the outcome and all complications with a minimum two year follow-up. There were two superficial wound infections. One patient developed a non-union which required a formal open procedure. Another patient was symptomatic from a palpable plate inferiorly. An excellent AOFAS result was obtained in 83% (20/24) of the patients. Early minimally invasive reduction and fixation of complex high velocity pilon fractures gave very satisfactory results at a minimum of two years follow-up.
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Metadata
Title
Minimally-invasive treatment of high velocity intra-articular fractures of the distal tibia
Authors
M. Leonard
P. Magill
G. Khayyat
Publication date
01-08-2009
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 4/2009
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-008-0629-5

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