International Journal of Orthopaedics Sciences

Observation of different modalities of treatment in closed pilon fractures in adults

2019, Volume 5 Issue 3

Observation of different modalities of treatment in closed pilon fractures in adults

Author(s): Dr. Aditya Mohapatra, Dr. Satyajeet Ray and Dr. Dillip Kumar Chand
Abstract: Tibial Pilon fractures are challenging injuries for the orthopaedic surgeon to manage successfully. The main challenges in the management of these fractures are compromised skin and soft tissue envelope, comminuted fracture, displacement of fragments, metaphyseal region of fracture. In our prospective study, we have done different modalities of treatment of closed pilon fracture with no or minimal soft tissue injury in adults and observed the final functional score and complication rates. 20 patients were followed up to 12-24 month.12 cases (60%) unite in between 16-20 weeks,4 cases (20%) are unite in 12-16 weeks and rest 20% cases unite after 20 weeks. Complication like superficial thrombophlebitis in 2 cases which treated conservatively. Superficial skin infection in one case of primary ORIF and 2 cases of MIPPO. Deep infection occure in 1 case of ring fixator. Final functional outcome in our study according to AOFAS Score, 11 patients (55%) had excellent result and 6 cases (30%) good& 3 had fair (15%) result.
Pages: 449-454  |  981 Views  84 Downloads
How to cite this article:
Dr. Aditya Mohapatra, Dr. Satyajeet Ray, Dr. Dillip Kumar Chand. Observation of different modalities of treatment in closed pilon fractures in adults. Int J Orthop Sci 2019;5(3):449-454. DOI: 10.22271/ortho.2019.v5.i3h.1571
 
International Journal of Orthopaedics Sciences
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