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External Fixation combined with Limited Internal Fixation versus Open Reduction Internal Fixation for Treating Ruedi-Allgower Type III Pilon Fractures

BACKGROUND: The optimal treatment of type III pilon fractures remains controversial. Hence, we performed this study to investigate whether open reduction and internal fixation (ORIF) is superior to external fixations combined with limited internal fixations (EFLIF). MATERIAL/METHODS: From January 20...

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Autores principales: Guo, Yongzhi, Tong, Liangyong, Li, Shaoguang, Liu, Zhi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4471850/
https://www.ncbi.nlm.nih.gov/pubmed/26050786
http://dx.doi.org/10.12659/MSM.893289
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author Guo, Yongzhi
Tong, Liangyong
Li, Shaoguang
Liu, Zhi
author_facet Guo, Yongzhi
Tong, Liangyong
Li, Shaoguang
Liu, Zhi
author_sort Guo, Yongzhi
collection PubMed
description BACKGROUND: The optimal treatment of type III pilon fractures remains controversial. Hence, we performed this study to investigate whether open reduction and internal fixation (ORIF) is superior to external fixations combined with limited internal fixations (EFLIF). MATERIAL/METHODS: From January 2012 to October 2013, a total of 78 patients were included. Twenty-six patients underwent EFLIF and 52 patients underwent ORIF. All subjects were followed up at 1, 3, 6, and 12 months postoperatively. All outcomes and complications were recorded. RESULTS: No statistical differences were observed in Mazur score or ROM between the 2 groups. There were significant differences between the 2 groups in hospital stay (P<0.001), reduction results (P=0.019), screw loosening (P=0.025), and traumatic arthritis (P=0.037). CONCLUSIONS: Similar functional outcomes were achieved in EFLIF and ORIF groups. Due to several limitations of this study, a well-designed randomized controlled trial involving more patients and long-term follow-up is needed to find an optimal treatment protocol.
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spelling pubmed-44718502015-06-29 External Fixation combined with Limited Internal Fixation versus Open Reduction Internal Fixation for Treating Ruedi-Allgower Type III Pilon Fractures Guo, Yongzhi Tong, Liangyong Li, Shaoguang Liu, Zhi Med Sci Monit Clinical Research BACKGROUND: The optimal treatment of type III pilon fractures remains controversial. Hence, we performed this study to investigate whether open reduction and internal fixation (ORIF) is superior to external fixations combined with limited internal fixations (EFLIF). MATERIAL/METHODS: From January 2012 to October 2013, a total of 78 patients were included. Twenty-six patients underwent EFLIF and 52 patients underwent ORIF. All subjects were followed up at 1, 3, 6, and 12 months postoperatively. All outcomes and complications were recorded. RESULTS: No statistical differences were observed in Mazur score or ROM between the 2 groups. There were significant differences between the 2 groups in hospital stay (P<0.001), reduction results (P=0.019), screw loosening (P=0.025), and traumatic arthritis (P=0.037). CONCLUSIONS: Similar functional outcomes were achieved in EFLIF and ORIF groups. Due to several limitations of this study, a well-designed randomized controlled trial involving more patients and long-term follow-up is needed to find an optimal treatment protocol. International Scientific Literature, Inc. 2015-06-08 /pmc/articles/PMC4471850/ /pubmed/26050786 http://dx.doi.org/10.12659/MSM.893289 Text en © Med Sci Monit, 2015 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License
spellingShingle Clinical Research
Guo, Yongzhi
Tong, Liangyong
Li, Shaoguang
Liu, Zhi
External Fixation combined with Limited Internal Fixation versus Open Reduction Internal Fixation for Treating Ruedi-Allgower Type III Pilon Fractures
title External Fixation combined with Limited Internal Fixation versus Open Reduction Internal Fixation for Treating Ruedi-Allgower Type III Pilon Fractures
title_full External Fixation combined with Limited Internal Fixation versus Open Reduction Internal Fixation for Treating Ruedi-Allgower Type III Pilon Fractures
title_fullStr External Fixation combined with Limited Internal Fixation versus Open Reduction Internal Fixation for Treating Ruedi-Allgower Type III Pilon Fractures
title_full_unstemmed External Fixation combined with Limited Internal Fixation versus Open Reduction Internal Fixation for Treating Ruedi-Allgower Type III Pilon Fractures
title_short External Fixation combined with Limited Internal Fixation versus Open Reduction Internal Fixation for Treating Ruedi-Allgower Type III Pilon Fractures
title_sort external fixation combined with limited internal fixation versus open reduction internal fixation for treating ruedi-allgower type iii pilon fractures
topic Clinical Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4471850/
https://www.ncbi.nlm.nih.gov/pubmed/26050786
http://dx.doi.org/10.12659/MSM.893289
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