Quantifying tibial plafond fracture severity: Absorbed energy and fragment displacement agree with clinical rank ordering

Journal of Orthopaedic Research

Volumn 26, Issue 8, 2008, Pages 1046-1052

  Anderson, Donald D ^a,b   Mosqueda, Teresa ^a   Thomas, Thaddeus ^b   Hermanson, Evan L ^a   Brown, Thomas D ^a,b   Marsh, J Lawrence ^a  

^a UNIVERSITY OF IOWA   (United States)

^b IA United States   (United States)

Author keywords

Fracture severity; Intra articular; Post traumatic arthritis

Indexed keywords

ADULT; ARTICLE; BONE SWELLING; CLINICAL ARTICLE; CLINICAL ASSESSMENT; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; EDEMA; ENERGY ABSORPTION; FEMALE; HUMAN; INJURY SEVERITY; MALE; PRIORITY JOURNAL; RADIOGRAPHY; SOFT TISSUE INJURY; TIBIA FRACTURE; CLASSIFICATION; CLINICAL TRIAL; INJURY SCALE; MECHANICAL STRESS; METHODOLOGY; MIDDLE AGED; OBSERVER VARIATION; PATHOPHYSIOLOGY; STATISTICS;

ADULT; EDEMA; FEMALE; HUMANS; MALE; MIDDLE AGED; OBSERVER VARIATION; STRESS, MECHANICAL; TIBIAL FRACTURES; TOMOGRAPHY, X-RAY COMPUTED; TRAUMA SEVERITY INDICES;

EID: 49149085611     PISSN: 07360266     EISSN: None     Source Type: Journal    
DOI: 10.1002/jor.20550     Document Type: Article

References (24)

1. Wyrsch B, McFerran MA, McAndrew M, et al. 1996. Operative treatment of fractures of the tibial plafond. J Bone Joint Surg [Am] 78:1646-1657.
2. Crutchfield E, Seligson D, Henry S, et al. 1995. Tibial pilon fractures: a comparative clinical study of management techniques and results. Orthopedics 18:613-617.
3. Evangelopoulos D, Anastasakis D, Samelis P, et al. 1999. Articular fractures of the tibia (pilon) grade III. Treatment with external fixator and minimal internal fixation. J Bone Joint Surg [Br] 81(Suppl II): 181.
4. Hernandez JA, Rodriguez D, Garreta JL, et al. 1999. Fractures of the tibial plafond. Influence of fracture type and accuracy of articular reduction in their prognosis. J Bone Joint Surg [Br] 81(Suppl II):181.
5. Stojkovska E, Saveski J, Todorov I, et al. 1999. Results of surgical treatment of displaced pilon fractures. J Bone Joint Surg [Br] 81(Suppl II):181.
6. Bartlett CS III, D'Amato MJ, Weiner LS. 1998. Fractures of the tibial pilon. In: Browner BD, Jupiter JB, Levine AM, et al., editors. Skeletal trauma, 2nd ed. Philadelphia: Saunders; p 2295-2325.
7. Beardsley CL, Anderson DD, Marsh JL, et al. 2005. Inter-fragmentary surface area as an index of comminution severity in cortical bone impact. J Orthop Res 23:686-690.
8. Von Rittinger P. 1867. Lehrbruch der Aufbereitskunde [Textbook of unit pperations]. Berlin: Ernst and Kokn.
9. Beardsley CL, Bertsch CR, Marsh JL, et al. 2002. Interfragmentary surface area as an index of comminution energy: proof of concept in a bone fracture surrogate. J Biomech 35:331-338.
10. Beardsley CL, Heiner AD, Brandser EA, et al. 2000. High density polyetherurethane foam as a fragmentation and radio-graphic surrogate for cortical bone. Iowa Orthop J 20:24-30.
11. Beardsley CL, Marsh JL, Brown TD. 2004. Quantifying comminution as a measurement of severity of articular injury. Clin Orthop 423:74-78.
12. Currey JD. 1979. Changes in the impact energy absorption of bone with age. J Biomech 12:459-469.
13. Currey JD, Brear K, Zioupos P. 1996. The effects of ageing and changes in mineral content in degrading the toughness of human femora. J Biomech 29:257-260.
14. Erratum in: J Biomech 30:1001.
15. Gibson LJ, Ashby MF. 1999. Cellular solids: structure and properties, 1st paperback ed. Cambridge: Cambridge University Press; p 429-452.
16. Snyder SM, Schneider E. 1991. Estimation of mechanical properties of cortical bone by computed tomography. J Orthop Res 9:422-431.
17. Ciarelli MJ, Goldstein SA, Kuhn JL, et al. 1991. Evaluation of orthogonal mechanical properties and density of human trabecular bone from the major metaphyseal regions with materials testing and computed tomography. J Orthop Res 9:674-682.
18. DeCoster TA, Willis MC, Marsh JL, et al. 1999. Rank order analysis of tibial plafond fractures: does injury or reduction predict outcome? Foot Ankle Int 20:44-49.
19. Helfet DL, Koval K, Pappas J, et al. 1994. Intraarticular "pilon" fracture of the tibia. Clin Orthop 298:221-228.
20. Trumble TE, Schmitt SR, Vedder NB. 1994. Factors affecting functional outcome of displaced intra-articular distal radius fractures. J Hand Surg Am 19:325-340.
21. Swiontkowski MF, Sands AK, Agel J, et al. 1997. Inter-observer variation in the AO/OTA fracture classification system for pilon fractures: is there a problem? J Orthop Trauma 11:467-470.
22. Williams TM, Nepola JV, DeCoster TA, et al. 2004. Factors affecting outcome in tibial plafond fractures. Clin Orthop 423:93-98.
23. Dirschl DR, Adams GL. 1997. A critical assessment of factors influencing reliability in the classification of fractures, using fractures of the tibial plafond as a model. J Orthop Trauma 11:471-476.
24. Martin JS, Marsh JL, Bonar SK, et al. 1997. Assessment of the AO/ASIF fracture classification for the distal tibia. J Orthop Trauma 11:477-483.