Articolul precedent |
Articolul urmator |
299 6 |
Ultima descărcare din IBN: 2023-11-27 19:51 |
SM ISO690:2012 GUZUN, Andrei, MADAN, Vadim, GLAVAN, Alina, MUNTEANU, Andrei, VACULA, Ion, BURUIANĂ, Gheorghe. Primary arthrodesis or open reduction and ostheosynthesis of severly comminuted pilon fractures. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 341. ISBN 978-9975-82-223-7 (PDF).. |
EXPORT metadate: Google Scholar Crossref CERIF DataCite Dublin Core |
Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
|
||||||
Pag. 341-341 | ||||||
|
||||||
Descarcă PDF | ||||||
Rezumat | ||||||
Background. The management of the comminuted fractures of distal tibia resulting after high-energy trauma is challenging. The soft tissues condition dictate almost the surgery timing. Although surgical treatment have improve over time to spare soft tissues, the rate of postoperative complications is high. Objective of the study. The aim of this study is to assess the results of primary arthrodesis and ORIF of the pilon tibiale fractures. Material and Methods. A PubMed search was performed using the combination of words “primary arthrodesis pilon fractures”. Results. The search results were 25 articles. Six articles were excluded due to content. In the studies were analyzed the rate of union, infection, foot alignment, pain and AOFAS ankle score of the patients with severly comminuted pilon fractures. In the majority of articles the authors present a high union and low wound complication rates. The AOFAS ankle score fits within excellent or good. Radiographic and clinical analysis confirmed a plantigrade foot without malalignment. But some authors demonstrated a satisfactory outcome following primary open reduction and internal fixation of the fracture in appropriately selected patients. Conclusion. Primary ankle arthrodesis is an option for nonreconstructible pilon fractures with soft tissue damage in patients with delay in treatment and poor healing potential. The ideal treatment for this fractures remains controversial. |
||||||
Cuvinte-cheie Primary ankle arthrodesis, Pilon fracture, distal tibia fracture, artrodeza primară a gleznei, fractură de pilon, fractură tibia distală |
||||||
|