Clinical characteristics and outcome of tibial pilon fractures treated with open reduction and plating in a tertiary medical college

Authors

  • Manoj Das Department of Orthopaedics, College of Medical Sciences-Teaching Hospital, Bharatpur, Chitwan, Nepal
  • Suresh Pandey Department of Orthopaedics, College of Medical Sciences-Teaching Hospital, Bharatpur, Chitwan, Nepal
  • Hemant Kumar Gupta Department of Orthopaedics, College of Medical Sciences-Teaching Hospital, Bharatpur, Chitwan, Nepal
  • Suraj Bidary Department of Orthopaedics, College of Medical Sciences-Teaching Hospital, Bharatpur, Chitwan, Nepal
  • Anilata Das Department of Pediatrics, Chitwan Medical College, Bharatpur, Chitwan, Nepal

DOI:

https://doi.org/10.3126/jgmcn.v16i2.60721

Keywords:

AOFAS score, functional outcome, ORIF, pilon fracture, union

Abstract

Introduction: Tibial pilon fracture possess a challenge to achieve optimum outcome because of soft tissue related complications and intra-articular nature of the fracture. Surgical treatments and outcomes vary in literature. The objective of this study was to assess the functional and radiological outcome of tibial pilon fractures treated with open reduction and internal fixation with plate and screws.

Methods: This was a descriptive study of retrospective data of displaced tibial pilon fractures treated with open reduction and internal fixation with plate and screws. Functional outcome was assessed by American Orthopaedic Foot and Ankle Society (AOFAS) score and fracture union with plain radiography.

Results: There were total of 20 cases of tibial pilon fractures with mean age of 41.4 years (SD±14.36). The mean AOFAS score was 81.60 (range 42-100) at mean follow up of 18.2 months (range 9-48). Good to excellent results was found in 12(60%) and fair results in 6(30%) cases. All the fractures united at mean of 5.8 months (range 5-7). Partial wound dehiscence was seen in 1(5%) case and marginal skin necrosis occurred in 3(15%) of the cases.

Conclusions: Current study showed favorable radiological and functional outcome in most of the tibial pilon fractures treated with open reduction and internal fixation with plate and screws with acceptable rate of minor wound related complications

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Published

2023-12-31

How to Cite

Das, M., Pandey, S., Gupta, H. K., Bidary, S., & Das, A. (2023). Clinical characteristics and outcome of tibial pilon fractures treated with open reduction and plating in a tertiary medical college. Journal of Gandaki Medical College-Nepal, 16(2), 75–79. https://doi.org/10.3126/jgmcn.v16i2.60721

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Section

Original Articles