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Ankle joint reconstruction by circular frame external fixator for a severely comminuted and contaminated open tibial pilon fracture (AO 43-C3.3). Case report
A severely comminuted and contaminated open tibial pilon fracture is one of the most challenging fractures we face. Although nowadays conducting multiple operations over various stages is a common treatment option taking into account the possibility of soft tissue damage, a gold standard protocol fo...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6669874/ https://www.ncbi.nlm.nih.gov/pubmed/31388542 http://dx.doi.org/10.1016/j.tcr.2019.100234 |
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author | Harada, Shota Teramoto, Tsukasa Takaki, Motoyuki Asahara, Tomohiko Katoh, Narutaka Takenaka, Nobuyuki Matsushita, Takashi |
author_facet | Harada, Shota Teramoto, Tsukasa Takaki, Motoyuki Asahara, Tomohiko Katoh, Narutaka Takenaka, Nobuyuki Matsushita, Takashi |
author_sort | Harada, Shota |
collection | PubMed |
description | A severely comminuted and contaminated open tibial pilon fracture is one of the most challenging fractures we face. Although nowadays conducting multiple operations over various stages is a common treatment option taking into account the possibility of soft tissue damage, a gold standard protocol for severe pilon fractures has not yet been established. This case concerns a 56-year-old gentleman who suffered a severely comminuted and contaminated Gustilo 3b open tibial pilon fracture (AO 43C3.3) that was successfully treated using a circular frame external fixator without flap. Two years six months after the injury, there were no indications of any skin conditions at the site of the open wound, the range of ankle motion had been maintained and independent walking was possible. The score under the JSSF (Japanese Society of Surgery of the foot) ankle/hind foot scale was 81. This indicates that use of a circular frame external fixator is a useful treatment method in the event of a severe open pilon fracture where there is a large osteochondral bone defect. |
format | Online Article Text |
id | pubmed-6669874 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-66698742019-08-06 Ankle joint reconstruction by circular frame external fixator for a severely comminuted and contaminated open tibial pilon fracture (AO 43-C3.3). Case report Harada, Shota Teramoto, Tsukasa Takaki, Motoyuki Asahara, Tomohiko Katoh, Narutaka Takenaka, Nobuyuki Matsushita, Takashi Trauma Case Rep Article A severely comminuted and contaminated open tibial pilon fracture is one of the most challenging fractures we face. Although nowadays conducting multiple operations over various stages is a common treatment option taking into account the possibility of soft tissue damage, a gold standard protocol for severe pilon fractures has not yet been established. This case concerns a 56-year-old gentleman who suffered a severely comminuted and contaminated Gustilo 3b open tibial pilon fracture (AO 43C3.3) that was successfully treated using a circular frame external fixator without flap. Two years six months after the injury, there were no indications of any skin conditions at the site of the open wound, the range of ankle motion had been maintained and independent walking was possible. The score under the JSSF (Japanese Society of Surgery of the foot) ankle/hind foot scale was 81. This indicates that use of a circular frame external fixator is a useful treatment method in the event of a severe open pilon fracture where there is a large osteochondral bone defect. Elsevier 2019-07-29 /pmc/articles/PMC6669874/ /pubmed/31388542 http://dx.doi.org/10.1016/j.tcr.2019.100234 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Article Harada, Shota Teramoto, Tsukasa Takaki, Motoyuki Asahara, Tomohiko Katoh, Narutaka Takenaka, Nobuyuki Matsushita, Takashi Ankle joint reconstruction by circular frame external fixator for a severely comminuted and contaminated open tibial pilon fracture (AO 43-C3.3). Case report |
title | Ankle joint reconstruction by circular frame external fixator for a severely comminuted and contaminated open tibial pilon fracture (AO 43-C3.3). Case report |
title_full | Ankle joint reconstruction by circular frame external fixator for a severely comminuted and contaminated open tibial pilon fracture (AO 43-C3.3). Case report |
title_fullStr | Ankle joint reconstruction by circular frame external fixator for a severely comminuted and contaminated open tibial pilon fracture (AO 43-C3.3). Case report |
title_full_unstemmed | Ankle joint reconstruction by circular frame external fixator for a severely comminuted and contaminated open tibial pilon fracture (AO 43-C3.3). Case report |
title_short | Ankle joint reconstruction by circular frame external fixator for a severely comminuted and contaminated open tibial pilon fracture (AO 43-C3.3). Case report |
title_sort | ankle joint reconstruction by circular frame external fixator for a severely comminuted and contaminated open tibial pilon fracture (ao 43-c3.3). case report |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6669874/ https://www.ncbi.nlm.nih.gov/pubmed/31388542 http://dx.doi.org/10.1016/j.tcr.2019.100234 |
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