The Official journal of the China Association of Rehabilitation of Disabled Persons and the 88th Hospital of PLA

Composite Impact Factor:

0. 948 (2015)

Total citation frequency: 3868 (2015)


ISSN 1005-8478

CN 37-1247/R

Ankle arthroscopic assisted closed reduction and internal fixation for Pilon fractures

Author : CHEN Gang, DU Wei, SHI Ke-qin, DAI Teng.     
Working unit : Department of Orthopaedics, Wuxi Second Hospital, Nanjing Medical University, Wuxi 214002, China
Page : 2237-2241.
Key words : Pilon fractures, ankle arthroscopy, closed reduction and internal fixation (CRIF) , open reduction and internal fixation (ORIF)
Abstract: [Objective] To investigate the clinical outcomes of ankle arthroscopic assisted closed reduction and internal fixation for treatment of Pilon fractures. [Methods] A total of 22 patients with AO/OTA type B, C1 and C2 Pilon fractures were enrolled into this study and randomly divided into two groups from January 2016 to January 2018. Of them, 12 patients received ankle arthroscopic assisted closed reduction and internal fixation (CRIF) , while the remaining 10 patients had conventional open reduction and internal fixation (ORIF) . The incision length, intraoperative fluoroscopic time, operation time, hospital stay, fracture healing time and American Ankle Surgery Association (AOFAS) score were compared between the two groups. [Results] All the patients in both groups had surgical procedures performed successfully without serious complications. The CRIF group proved significantly superior to the ORIF group in incision length, hospital stay (P<0.05) , although the CRIF group took significantly longer fluoroscopic time than the ORIF group (P<0.05) , and no a statistically significant difference was noticed in operation time between them (P>0.05) . All the patients were followed up for more than 12 months. The CRIF group returned to full weight-bearing ambulation significantly earlier than the ORIF group (P<0.05) . The AOFAS scores significantly increased as time went postoperatively in both groups (P<0.05) , however, the CRIF group proved significantly higher AOFAS scores than the ORIF group at 3, 6 and 12 months after operation (P<0.05) . Regarding to radiographic assessment, the CRIF group got significantly earlier bony fracture healing than the ORIF group (P<0.05) . [Conclusion] This ankle arthroscopic assisted closed reduction internal fixation does achieve sound clinical outcomes with advantages of minimized trauma, shortened hospital stay and improved functional recovery over the traditional open reduction and internal fixation.
summary:
Ankle arthroscopic assisted closed reduction and internal fixation for Pilon fractures   
CHEN Gang, DU Wei, SHI Ke-qin, DAI Teng.
Orthop J Chin, 27(24):   2237-2241.