Primary Ankle Arthrodesis vs ORIF for Severely Comminuted Pilon Fractures: A Comparative Retrospective Study

Foot & Ankle Orthopaedics

Colin H.Beckwitt¹ 

关键词: pilon fracture;    arthrodesis;    ORIF;    plafond;    AO/OTA type C3;    trauma;    outcome studies;    retrospective cohort study;   

DOI  :  10.1177/2473011418780437

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Background:The treatment for highly comminuted pilon fractures remains controversial. The goal of this retrospective cohort study was to compare functional outcomes of primary arthrodesis of the tibiotalar joint (fusion) and open reduction internal fixation (ORIF).Methods:Patients who underwent primary ORIF or fusion for pilon fractures at our institution since 2000 were identified by Current Procedural Terminology (CPT) code. Inclusion criteria for the ORIF cohort were patients with an AO/Orthopaedic Trauma Association type C3 pilon fracture. Additional inclusion criteria for the fusion cohort were patients whose fractures were deemed non-reconstructable by the treating surgeon. Outcome assessment was determined by the Foot and Ankle Outcome Score (FAOS) and Short Form 36-item health survey (SF-36), time to radiographic union or fusion, and wound-healing complications at a minimum of 2 years after their surgery.Results:Nineteen ORIF and 16 fusion patients completed the study’s outcome assessments. A high...

【 授权许可】

CC BY