| Titre : | High-Energy Pilon Fractures: Role of External Fixation in Acute and Definitive Treatment. What are the Indications and Technique for Primary Ankle Arthrodesis? (2020) |
| Auteurs : | Michael P. Swords ; Brian Weatherford |
| Type de document : | Article |
| Dans : | Foot and Ankle Clinics (Vol. 25, n°4, Décembre 2020) |
| Article en page(s) : | p. 523-536 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Arthrodèse ; Cheville ; Fixateurs externes ; Fractures de la cheville ; Fractures du tibia ; Pilon tibial |
| Résumé : |
• Most of the tibial pilon fractures benefit from a staged protocol with initial external fixation and delayed internal fixation with direct reduction of the articular surface.
• Reduction techniques performed to achieve restoration of mechanical axis during application of external fixation are a key component to successful pilon fracture management. • The use of an external fixator, with or without limited internal fixation, can be useful in patients with significant soft tissue compromise. • Primary arthrodesis can be considered in patients with nonreconstructable articular injuries, delayed presentation, significant medical comorbidities, or peripheral neuropathy. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect/com/science/article/pii/S1083751520300930 |
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