A Surgical Approach to Posterior Pilon Fractures

被引:181
作者
Amorosa, Louis F. [1 ]
Brown, Gabriel D. [1 ]
Greisberg, Justin [1 ]
机构
[1] Columbia Univ, Med Ctr, Dept Orthopaed Surg, New York, NY 10032 USA
关键词
posterior pilon fractures; pilon fractures; trimalleolar ankle fractures; tibial plafond; rotational injury; axial load injury; soft tissue sparing; marginal impaction; posterolateral approach; posteromedial approach; Musculoskeletal Function Assessment; Foot Function Index; TIBIAL PLAFOND FRACTURES; MALLEOLAR FRACTURES; POSTEROLATERAL APPROACH; INTERNAL-FIXATION; ANKLE; OUTCOMES; STABILITY;
D O I
10.1097/BOT.0b013e3181b91927
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
Posterior pilon fractures are injuries of the posterior tibial plafond that likely occur through a combined rotational and axial load mechanism and are often difficult to treat with standard surgical approaches to the ankle. We describe an alternative surgical approach to this injury using posteromedial, posterolateral, or combined approaches and present a series of patients with either radiographic or functional outcomes at a minimum of 1-year follow up that were treated by this method.
引用
收藏
页码:188 / 193
页数:6
相关论文
共 19 条
[1]
Functional limitations of patients with end-stage ankle arthrosis [J].
Agel, J ;
Coetzee, JC ;
Sangeorzan, BJ ;
Roberts, MM .
FOOT & ANKLE INTERNATIONAL, 2005, 26 (07) :537-539
[2]
[Anonymous], 2000, FUNCTIONAL RECONSTRU
[3]
Complications associated with the posterolateral approach for pilon fractures [J].
Bhattacharyya, T ;
Crichlow, R ;
Gobezie, R ;
Kim, E ;
Vrahas, MS .
JOURNAL OF ORTHOPAEDIC TRAUMA, 2006, 20 (02) :104-107
[4]
Long-term results following ankle arthrodesis for post-traumatic arthritis [J].
Coester, LM ;
Saltzman, CL ;
Leupold, J ;
Pontarelli, W .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2001, 83A (02) :219-228
[5]
Fixation of posterior malleolar fractures provides greater syndesmotic stability [J].
Gardner, Michael J. ;
Brodsky, Adam ;
Briggs, Stephen M. ;
Nielson, Jason H. ;
Lorich, Dean G. .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2006, (447) :165-171
[6]
Pathoanatomy of posterior malleolar fractures of the ankle [J].
Haraguchi, N ;
Haruyama, H ;
Toga, H ;
Kato, F .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2006, 88A (05) :1085-1092
[7]
POSTERIOR MALLEOLAR FRACTURES OF THE ANKLE ASSOCIATED WITH EXTERNAL ROTATION-ABDUCTION INJURIES - RESULTS WITH AND WITHOUT INTERNAL-FIXATION [J].
HARPER, MC ;
HARDIN, G .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1988, 70A (09) :1348-1356
[8]
Results and outcomes after operative treatment of high-energy tibial plafond fractures [J].
Harris, AM ;
Patterson, BM ;
Sontich, JK ;
Vallier, HA .
FOOT & ANKLE INTERNATIONAL, 2006, 27 (04) :256-265
[9]
Postero-medio-anterior approach of the ankle for the pilon fracture [J].
Kao, KF ;
Huang, PJ ;
Chen, YW ;
Cheng, YM ;
Lin, SY ;
Ko, SH .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2000, 31 (02) :71-74
[10]
GENERALIZED OSTEOARTHRITIS AND HEBERDENS NODES [J].
KELLGREN, JH ;
MOORE, R .
BRITISH MEDICAL JOURNAL, 1952, 1 (4751) :181-187