Is obesity protective against wound healing complications in pilon surgery? Soft tissue envelope and pilon fractures in the obese

Orthopedics

Volumn 33, Issue 8, 2010, Pages

  Graves, Matthew L ^a   Porter, Scott E ^b   Fagan, Bryan C ^a   Brien, Glenn A ^c   Lewis, Matthew W ^a   Biggers, Marcus D ^a   Woodall, James R ^a   Russell, George V ^a  

^a UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE   (United States)

^b Greenville Healthcare Systems   (United States)

^c Capital Orthopedic and Sports Medicine Center   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ANKLE FRACTURE; ANKLE INJURY; ARTICLE; BODY MASS; COMPUTER ASSISTED TOMOGRAPHY; FEMALE; FRACTURE TREATMENT; HUMAN; MAJOR CLINICAL STUDY; MALE; OBESITY; OPEN REDUCTION; OSTEOSYNTHESIS; SOFT TISSUE INJURY; TREATMENT OUTCOME; WOUND HEALING;

ADOLESCENT; ADULT; AGED; ANKLE INJURIES; ANTI-BACTERIAL AGENTS; BODY MASS INDEX; DEBRIDEMENT; EXTERNAL FIXATORS; FEMALE; FOLLOW-UP STUDIES; FRACTURE FIXATION; HUMANS; INCIDENCE; INJURY SEVERITY SCORE; INTERNAL FIXATORS; MALE; MIDDLE AGED; OBESITY; PROGNOSIS; RANGE OF MOTION, ARTICULAR; RETROSPECTIVE STUDIES; RISK FACTORS; SURGICAL WOUND DEHISCENCE; SURGICAL WOUND INFECTION; TIBIAL FRACTURES; TOMOGRAPHY, X-RAY COMPUTED; WOUND HEALING; YOUNG ADULT;

EID: 77955598986     PISSN: 01477447     EISSN: None     Source Type: Journal    
DOI: 10.3928/01477447-20100625-27     Document Type: Article

References (21)

1. Rommens PM, Claes P, De Boodt P, Stappaerts KH, Broos PL. Therapeutic procedure and long-term results in tibial pilon fracture in relation to primary soft tissue damage. Unfallchirurg. 1994; 97 (1):39-46. (Pubitemid 24062515)
2. Watson JT, Moed BR, Karges DE, Cramer KE. Pilon fractures. Treatment protocol based on severity of soft tissue injury. Clin Orthop Relat Res. 2000; (375):78-90.
3. Blauth M, Bastian L, Krettek C, Knop C, Evans S. Surgical options for the treatment of severe tibial pilon fractures: a study of three techniques. J Orthop Trauma. 2001; 15(3):153-160. (Pubitemid 33599794)
4. Grose A, Gardner MJ, Hettrich C, et al. Open reduction and internal fixation of tibial pilon fractures using a lateral approach. J Orthop Trauma. 2007; 21(8):530-537. (Pubitemid 47367960)
5. Pollak AN, McCarthy ML, Bess RS, et al. Outcomes after treatment of high-energy tibial plafond fractures. J Bone Joint Surg Am. 2003; 85(10):1893-1900. (Pubitemid 37259723)
6. Thordarson DB. Complications after treatment of tibial pilon fractures: prevention and management strategies. J Am Acad Orthop Surg. 2000; 8(4):253-265.
7. Tornetta P 3rd, Weiner L, Bergman M, et al. Pilon fractures: treatment with combined internal and external fixation. J Orthop Trauma. 1993; 7(6):489-496.
8. Rommens PM, Claes P, Broos PL. Therapeutic strategy in pilon fractures type C2 and C3: soft tissue damage changes treatment protocol. Acta Chir Belg. 1996; 96(2):85-92. (Pubitemid 126467030)
9. Teeny SM, Wiss DA. Open reduction and internal fixation of tibial plafond fractures. Variables contributing to poor results and complications. Clin Orthop Relat Res. 1993; (292):108-117.
10. Sirkin M, Sanders R, DiPasquale T, Herscovici D Jr. A staged protocol for soft tissue management in the treatment of complex pilon fractures. J Orthop Trauma. 2004; 18(8):32-38.
11. Fracture and dislocation compendium. Orthopedic Trauma Association Committee for Coding and Classification. J Orthop Trauma. 1996; 10(1):1-S154.
12. Broughton G 2nd, Janis JE, Attinger CE. Wound healing: an overview. Plast Reconstr Surg. 2006; 117(7):1-32.
13. Ruedi T, Allgower M. Late results after operative treatment of fractures of the distal tibia (pilon tibial fractures) [in German]. Unfallheilkunde. 1978; 81(4):319-323.
14. Patterson MJ, Cole JD. Two-staged delayed open reduction and internal fixation of severe pilon fractures. J Orthop Trauma. 1999; 13(2):85-91.
15. Arbabi S, Wahl WL, Hemmila MR, Kohoyda-Inglis C, Taheri PA, Wang SC. The cushion effect. J Trauma. 2003; 54(6):1090-1093.
16. Karunakar MA, Shah SN, Jerabek S. Body mass index as a predictor of complications after operative treatment of acetabular fractures. J Bone Joint Surg Am. 2005; 87(7):1498-1502. (Pubitemid 40917749)
17. Porter SE, Graves ML, Qin Z, Russell GV. Operative experience of pelvic fractures in the obese. Obes Surg. 2008; 18(6):702-708.
18. Tucker MC, Schwappach JR, Leighton RK, Coupe K, Ricci WM. Results of femoral intramedullary nailing in patients who are obese versus those who are not obese: a prospective multicenter comparison study. J Orthop Trauma. 2007; 21(8):523-529. (Pubitemid 47367959)
19. Porter SE, Russell GV, Dews RC, Qin Z, Woodall J Jr, Graves ML. Complications of acetabular fracture surgery in morbidly obese patients. J Orthop Trauma. 2008; 22(9):589-594.
20. Bostman OM. Body-weight related to loss of reduction of fractures of the distal tibia and ankle. J Bone Joint Surg Br. 1995; 77(1):101-103.
21. Strauss EJ, Frank JB, Walsh M, Koval KJ, Egol KA. Does obesity influence the outcome after the operative treatment of ankle fractures? J Bone Joint Surg Br. 2007; 89(6):794-798. (Pubitemid 47180201)