Cargando…
A Case of Closed Pilon Fracture Resulting in Soft-Tissue Necrosis and Treated with Reverse Sural Artery Flap and Circular External Fixation
Tibial pilon fractures are difficult to treat due to articular comminution and soft-tissue injuries caused by high-energy trauma. Open reduction and internal fixation is a commonly used method of treatment. However, it has a high risk of infection and soft-tissue complications due to the extensive d...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10432129/ https://www.ncbi.nlm.nih.gov/pubmed/37593410 http://dx.doi.org/10.1155/2023/9222479 |
_version_ | 1785091335375552512 |
---|---|
author | Igaki, Ryu Yasuda, Tomohiro Samejima, Yuki Irie, Yuko Murakami, Yuto Yoneya, Taisuke Takagi, Shinsuke Kawasaki, Keikichi Kanzaki, Koji |
author_facet | Igaki, Ryu Yasuda, Tomohiro Samejima, Yuki Irie, Yuko Murakami, Yuto Yoneya, Taisuke Takagi, Shinsuke Kawasaki, Keikichi Kanzaki, Koji |
author_sort | Igaki, Ryu |
collection | PubMed |
description | Tibial pilon fractures are difficult to treat due to articular comminution and soft-tissue injuries caused by high-energy trauma. Open reduction and internal fixation is a commonly used method of treatment. However, it has a high risk of infection and soft-tissue complications due to the extensive detachment of soft tissue. We report on a case with a tibial pilon fracture and soft-tissue necrosis that we treated using limited internal fixation combined with a circular external fixator (LIFCEF) and reverse sural artery flap (RSAF) as part of an orthoplastic approach within the orthopedic surgery department alone, which obtained good results. A 51-year-old man was injured in a motorcycle accident and transported to a nearby hospital. X-rays at the time of injury showed tibial pilon fractures (AO Foundation/Orthopedic Trauma Association 43c3.3, Ruedi–Allgower: Type III). Soft-tissue necrosis with blisters on the medial side of the lower leg (AO soft-tissue classification: IC3-MT1-NV1) was observed. In addition, the patient was referred to our hospital on day 10 of the injury. LIFCEF was chosen for treating the fracture because plate fixation was accompanied by the risk of plate exposure, soft-tissue complications, and an increased skin defect area, and RSAF was chosen to reconstruct the soft tissue defect. Four years after the surgery, the American Orthopedic Foot and Ankle Score was 92 points. X-ray alignment evaluation showed mLDTA 93° and aADTA 91°. Stage 2 arthrosis was present according to the Takakura ankle osteoarthritis classification, but the patient was able to walk without pain. Tibial pilon fractures are difficult to treat due to articular comminution and soft-tissue injuries caused by high-energy trauma. The timing and choice of treatment are crucial concerning the soft tissue. |
format | Online Article Text |
id | pubmed-10432129 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-104321292023-08-17 A Case of Closed Pilon Fracture Resulting in Soft-Tissue Necrosis and Treated with Reverse Sural Artery Flap and Circular External Fixation Igaki, Ryu Yasuda, Tomohiro Samejima, Yuki Irie, Yuko Murakami, Yuto Yoneya, Taisuke Takagi, Shinsuke Kawasaki, Keikichi Kanzaki, Koji Case Rep Orthop Case Report Tibial pilon fractures are difficult to treat due to articular comminution and soft-tissue injuries caused by high-energy trauma. Open reduction and internal fixation is a commonly used method of treatment. However, it has a high risk of infection and soft-tissue complications due to the extensive detachment of soft tissue. We report on a case with a tibial pilon fracture and soft-tissue necrosis that we treated using limited internal fixation combined with a circular external fixator (LIFCEF) and reverse sural artery flap (RSAF) as part of an orthoplastic approach within the orthopedic surgery department alone, which obtained good results. A 51-year-old man was injured in a motorcycle accident and transported to a nearby hospital. X-rays at the time of injury showed tibial pilon fractures (AO Foundation/Orthopedic Trauma Association 43c3.3, Ruedi–Allgower: Type III). Soft-tissue necrosis with blisters on the medial side of the lower leg (AO soft-tissue classification: IC3-MT1-NV1) was observed. In addition, the patient was referred to our hospital on day 10 of the injury. LIFCEF was chosen for treating the fracture because plate fixation was accompanied by the risk of plate exposure, soft-tissue complications, and an increased skin defect area, and RSAF was chosen to reconstruct the soft tissue defect. Four years after the surgery, the American Orthopedic Foot and Ankle Score was 92 points. X-ray alignment evaluation showed mLDTA 93° and aADTA 91°. Stage 2 arthrosis was present according to the Takakura ankle osteoarthritis classification, but the patient was able to walk without pain. Tibial pilon fractures are difficult to treat due to articular comminution and soft-tissue injuries caused by high-energy trauma. The timing and choice of treatment are crucial concerning the soft tissue. Hindawi 2023-08-09 /pmc/articles/PMC10432129/ /pubmed/37593410 http://dx.doi.org/10.1155/2023/9222479 Text en Copyright © 2023 Ryu Igaki et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Igaki, Ryu Yasuda, Tomohiro Samejima, Yuki Irie, Yuko Murakami, Yuto Yoneya, Taisuke Takagi, Shinsuke Kawasaki, Keikichi Kanzaki, Koji A Case of Closed Pilon Fracture Resulting in Soft-Tissue Necrosis and Treated with Reverse Sural Artery Flap and Circular External Fixation |
title | A Case of Closed Pilon Fracture Resulting in Soft-Tissue Necrosis and Treated with Reverse Sural Artery Flap and Circular External Fixation |
title_full | A Case of Closed Pilon Fracture Resulting in Soft-Tissue Necrosis and Treated with Reverse Sural Artery Flap and Circular External Fixation |
title_fullStr | A Case of Closed Pilon Fracture Resulting in Soft-Tissue Necrosis and Treated with Reverse Sural Artery Flap and Circular External Fixation |
title_full_unstemmed | A Case of Closed Pilon Fracture Resulting in Soft-Tissue Necrosis and Treated with Reverse Sural Artery Flap and Circular External Fixation |
title_short | A Case of Closed Pilon Fracture Resulting in Soft-Tissue Necrosis and Treated with Reverse Sural Artery Flap and Circular External Fixation |
title_sort | case of closed pilon fracture resulting in soft-tissue necrosis and treated with reverse sural artery flap and circular external fixation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10432129/ https://www.ncbi.nlm.nih.gov/pubmed/37593410 http://dx.doi.org/10.1155/2023/9222479 |
work_keys_str_mv | AT igakiryu acaseofclosedpilonfractureresultinginsofttissuenecrosisandtreatedwithreversesuralarteryflapandcircularexternalfixation AT yasudatomohiro acaseofclosedpilonfractureresultinginsofttissuenecrosisandtreatedwithreversesuralarteryflapandcircularexternalfixation AT samejimayuki acaseofclosedpilonfractureresultinginsofttissuenecrosisandtreatedwithreversesuralarteryflapandcircularexternalfixation AT irieyuko acaseofclosedpilonfractureresultinginsofttissuenecrosisandtreatedwithreversesuralarteryflapandcircularexternalfixation AT murakamiyuto acaseofclosedpilonfractureresultinginsofttissuenecrosisandtreatedwithreversesuralarteryflapandcircularexternalfixation AT yoneyataisuke acaseofclosedpilonfractureresultinginsofttissuenecrosisandtreatedwithreversesuralarteryflapandcircularexternalfixation AT takagishinsuke acaseofclosedpilonfractureresultinginsofttissuenecrosisandtreatedwithreversesuralarteryflapandcircularexternalfixation AT kawasakikeikichi acaseofclosedpilonfractureresultinginsofttissuenecrosisandtreatedwithreversesuralarteryflapandcircularexternalfixation AT kanzakikoji acaseofclosedpilonfractureresultinginsofttissuenecrosisandtreatedwithreversesuralarteryflapandcircularexternalfixation AT igakiryu caseofclosedpilonfractureresultinginsofttissuenecrosisandtreatedwithreversesuralarteryflapandcircularexternalfixation AT yasudatomohiro caseofclosedpilonfractureresultinginsofttissuenecrosisandtreatedwithreversesuralarteryflapandcircularexternalfixation AT samejimayuki caseofclosedpilonfractureresultinginsofttissuenecrosisandtreatedwithreversesuralarteryflapandcircularexternalfixation AT irieyuko caseofclosedpilonfractureresultinginsofttissuenecrosisandtreatedwithreversesuralarteryflapandcircularexternalfixation AT murakamiyuto caseofclosedpilonfractureresultinginsofttissuenecrosisandtreatedwithreversesuralarteryflapandcircularexternalfixation AT yoneyataisuke caseofclosedpilonfractureresultinginsofttissuenecrosisandtreatedwithreversesuralarteryflapandcircularexternalfixation AT takagishinsuke caseofclosedpilonfractureresultinginsofttissuenecrosisandtreatedwithreversesuralarteryflapandcircularexternalfixation AT kawasakikeikichi caseofclosedpilonfractureresultinginsofttissuenecrosisandtreatedwithreversesuralarteryflapandcircularexternalfixation AT kanzakikoji caseofclosedpilonfractureresultinginsofttissuenecrosisandtreatedwithreversesuralarteryflapandcircularexternalfixation |