Pilon Fractures: Advances in Surgical Management

被引：74

作者：

Crist, Brett D. ^{[1
]}

Khazzam, Michael ^{[2
]}

Murtha, Yvonne M. ^{[3
]}

Della Rocca, Gregory J. ^{[1
]}

机构：

[1] Univ Missouri, Dept Orthopaed Surg, Columbia, MO 65211 USA

[2] Univ Texas SW, Dallas, TX USA

[3] Univ Kansas, Sch Med, Wichita, KS 67214 USA

来源：

JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS | 2011年 / 19卷 / 10期

关键词：

TIBIAL PLAFOND FRACTURES; INVASIVE PLATE OSTEOSYNTHESIS; HYBRID EXTERNAL FIXATION; INTERNAL-FIXATION; OPEN REDUCTION; DISTAL TIBIA; OPERATIVE TREATMENT; INTRAARTICULAR FRACTURES; INCISION; PROTOCOL;

D O I：

10.5435/00124635-201110000-00005

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

Pilon fractures are challenging to manage because of the complexity of the injury pattern and the risk of significant complications. Variables such as fracture pattern, soft-tissue injury, and preexisting patient factors can lead to unpredictable outcomes. Avoiding complications associated with the soft-tissue envelope is paramount to optimizing outcomes. In persons with soft-tissue compromise, the use of temporary external fixation and staged management is helpful in reducing further injury and complications. Evidence in support of new surgical approaches and minimally invasive techniques is incomplete. Soft-tissue management, such as negative-pressure dressings, may be helpful in preventing complications.

引用

页码：612 / 622

页数：11

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