Early Tibiotalocalcaneal Arthrodesis Intramedullary Nail for Treatment of a Complex Tibial Pilon Fracture (AO/OTA 43-C).
Foot Ankle Spec
; 8(3): 220-5, 2015 Jun.
Article
in En
| MEDLINE
| ID: mdl-25156100
ABSTRACT
UNLABELLED Management of severely comminuted, complete articular tibial pilon fractures (AO/OTA 43-C) remains a challenge, with few treatment options providing good clinical outcomes. Open reduction and internal fixation of the tibial plafond, tibiotalar arthrodesis, and salvage hindfoot reconstruction procedures are all associated with surgical complications and functional limitations. In this report, we present a case of a complex pilon fracture in a patient with multiple medical comorbidities and socioeconomic disadvantages that was successfully and acutely treated with a retrograde tibiotalocalcaneal hindfoot arthrodesis nail. At final follow-up examination, the patient had decreased pain, a stable plantigrade foot, and could ambulate with normal shoes without any assistive devices. LEVELS OF EVIDENCE Therapeutic, Level IV Case series.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Arthrodesis
/
Tibial Fractures
/
Bone Nails
/
Calcaneus
/
Ankle Injuries
/
Fractures, Comminuted
/
Fracture Fixation, Intramedullary
Type of study:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Female
/
Humans
/
Middle aged
Language:
En
Journal:
Foot Ankle Spec
Journal subject:
ORTOPEDIA
/
PODIATRIA
Year:
2015
Type:
Article