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A one-year follow up of Pilon fractures of Tibia treated with Ilizarov External Fixator without image intensifier guidance.

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Author(s): Faisal Nazeer Hussain

Journal: Journal of Orthopaedics
ISSN 0972-978X

Volume: 4;
Issue: 1;
Date: 2007;
Original page

Keywords: pilon fractures | Tibial Plafond | Ilizarov Fixator

ABSTRACT
Introduction: Distal Tibial fractures involving the Plafond have been treated in the past in various ways resulting in an array of complications with each. There has been a recent trend to treat them with external fixators. Circular fixators have a special appeal in Pilon Fractures. Study Design: Retrospective, Observational, nonrandomized, without control group. Material and Methods: Seventeen cases of closed or Gustilo Type I/II open fractures which had been treated with Illizarov Fixators with or without the use of a U ring attachment or fibular plate fixation. All had been allowed to bear full weight on the limb in the early postoperative period. A follow up review was done at the completion of one year. Statistical Methods: None applicable because of the study being retrospective & observational in nature. Results: All cases healed with minimal displacement, a low complication rate and high patient satisfaction rates regardless of radiological misalignment of the bones. The time of fracture healing was short and a good range of motion was achieved in most at the end of one year. Conclusion: Ilizarov fixators can be used with safety and confidence in the treatment of Pilon fractures with low morbidity of the procedure and satisfactory outcome where facilities of image intensifier are not available.
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