TREATMENT OUTCOMES OF INTRA-ARTICULAR PILON FRACTURES. RETROSPECTIVE CROSS SECTIONAL STUDY
Background. Intra-articular tibia pilon fractures are quite seldom but they present a challenging issue for orthopedic and trauma surgeons as their management is difficult and comminuted pilon fractures are associated with high rate of complications. This research is aimed at elucidation of epidemiology of intra-articular pilon fractures and treatment outcomes in our practice.
Methods. Our study was based in all hospitals of East Kazakhstan region providing care to the patients with intra-articular tibia pilon fractures. We included all adult patients who were hospitalized within the period of 2014-2019. Overall, we enrolled 151 patients and three of them had injuries of both limbs (154 legs).
Results. Intra-articular tibia pilon fractures were more common among men (64.9%) and the prevailed mechanism of injury was the effect of rotational forces (53.2%). Ilizarov external fixation was the most common treatment used (22.1%), followed by the locking plate fixation (18.9%). However, almost half of the patients were undergone delayed surgical treatment in preoperative period. Approximately 20% of fractures in our study were treated conservatively with the use of cast. Such complication as postoperative wound infection was observed with locking plate fixation, while secondary displacement was more common in Ilizarov external fixation.
Conclusion. There is a room for improvement of management of intra-articular tibia pilon fractures at the hospital level of Kazakhstan.
Sabina K. Aubakirova1, https://orcid.org/0000-0003-1730-4230
Marat А. Zhanaspayev1, https://orcid.org/0000-0002-0610-0112
Ayan О. Myssayev 2,http://orcid.org//0000-0001-7332-4856
Alexandr A. Prokazyuk1, https://orcid.org/0000-0002-6030-4749
Arman С. Mussabekov1, https://orcid.org/0000-0001-8618-0345
Aidos S. Tlemisov1, https://orcid.org/0000-0002-4239-6627
Meirkhan Zh. Atudinov1, http://orcid.org//0000-0001-9995-8814
1 NJSC "Semey Medical University", Department of Traumatology and Pediatric Surgery,
Semey c., Republic of Kazakhstan;
2 Department of Science and Human Resources of the Ministry of Health of the Republic of Kazakhstan, Astana c., Republic of Kazakhstan.
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Aubakirova S.K., Zhanaspaev M.A., Myssaev A.O. Prokazyuk A.A., Mussabekov A.S., Tlemisov A.S., Atudinov M.Zh. Treatment outcomes of intra-articular pilon fractures. Retrospective cross-sectional study // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 4, pp. 146-152. doi 10.34689/SH.2023.25.4.018Related publications:
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