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Treatment of Tibial Pilon Fractures using Ring Fixators and Arthroscopy / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association ; : 1538-1545, 1995.
Artículo en Coreano | WPRIM | ID: wpr-769739
ABSTRACT
There were 21 cases of tibial pilon fractures in total type I-2 cases, type II-14 cases, type III-5 cases according to Rued's classification. In type I and II, ring fixators were applied to tibia and foot and closed reduction was performed monitoring the quality of the reduction with an image intensifier. When the quality of the reduction was questionable, we rechecked it using arthroscopy and if neces- sary, the reduction was readjusted. Instead of using plate and screws, we used olive stop wires to achieve stable fixation. In type III, a limited open reduction was performed in the place of arthroscopy. Approximately at the eighth week after operation, we removed the fixation of calcaneus, metatarsal and foot mounting. Between 16 and 28 weeks, we removed the foot mounting after achieving bony union in all cases except one case(20 cases). In the follow-up cases of 2 years and more, we obtained the fine functional results of 15 good, 4 fair and 2 poor cases. Fewer major complications were observed except 8 cases of pin tract infection(grade 1) and 1 case of reduction loss. Using ring fixators and arthroscopy, we had fewer surgical complications.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Artroscopía / Tibia / Huesos Metatarsianos / Calcáneo / Estudios de Seguimiento / Clasificación / Olea / Pie Tipo de estudio: Estudio observacional / Estudio pronóstico Idioma: Coreano Revista: The Journal of the Korean Orthopaedic Association Año: 1995 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Artroscopía / Tibia / Huesos Metatarsianos / Calcáneo / Estudios de Seguimiento / Clasificación / Olea / Pie Tipo de estudio: Estudio observacional / Estudio pronóstico Idioma: Coreano Revista: The Journal of the Korean Orthopaedic Association Año: 1995 Tipo del documento: Artículo