Decisions and staging leading to definitive open management of pilon fractures: Where have we come from and where are we now?

Journal of Orthopaedic Trauma

Volumn 26, Issue 8, 2012, Pages 488-498

  Liporace, Frank A ^a   Yoon, Richard S ^a  

^a RUTGERS NEW JERSEY MEDICAL SCHOOL   (United States)

Author keywords

intra articular ankle fracture; open ankle fracture; pilon fracture management; plafond fracture management; review

Indexed keywords

BONE RADIOGRAPHY; CLINICAL DECISION MAKING; CLINICAL EFFECTIVENESS; CLINICAL PROTOCOL; COMPUTER ASSISTED TOMOGRAPHY; DISEASE CLASSIFICATION; DISTAL TIBIA FRACTURE; FRACTURE FIXATION; FRACTURE HEALING; FRACTURE NONUNION; FRACTURE TREATMENT; HUMAN; INTRAMEDULLARY NAILING; MEDICAL HISTORY; OPEN REDUCTION; OPERATION DURATION; OSTEOSYNTHESIS; PILON FRACTURE; POSTOPERATIVE COMPLICATION; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; REVIEW; SURGEON; SURGICAL APPROACH; SURGICAL PATIENT; TREATMENT INDICATION; TREATMENT PLANNING;

FRACTURE FIXATION, INTERNAL; FRACTURES, OPEN; HUMANS; TIBIAL FRACTURES;

EID: 84864340120     PISSN: 08905339     EISSN: 15312291     Source Type: Journal    
DOI: 10.1097/BOT.0b013e31822fbdbe     Document Type: Review

References (68)

1. Michelson J, Moskovitz P, Labropoulos P. The nomenclature for intraarticular vertical impact fractures of the tibial plafond: Pilon versus pylon. Foot Ankle Int. 2004;25:149-150. (Pubitemid 39096182)
2. Browner BD, Jupiter J, Levine A, et al. Skeletal Trauma: BASIC Science, Management, and Reconstruction. Vol 2. Philadelphia, PA: ELSEVIER Inc; 2009.
3. Destot E. Traumataismes du pied et rayons x malleoles, astragale, calcaneum, avant-pied. Paris, France: MASSON; 1911.
4. Bourne RB, Rorabeck CH, Macnab J. Intra-articular fractures of the distal tibia: The pilon fracture. J Trauma. 1983;23:591-596. (Pubitemid 13039983)
5. 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;21:530-537. (Pubitemid 47367960)
6. Helfet DL, Koval K, Pappas J, et al. Intraarticular ''pilon'' fracture of the tibia. Clin Orthop Relat Res. 1994;(298):221-228.
7. Sirkin M, Sanders R, DiPasquale T, et al. A staged protocol for soft tissue management in the treatment of complex pilon fractures. J Orthop Trauma. 1999;13:78-84.
8. Babis GC, Vayanos ED, Papaioannou N, et al. Results of surgical treatment of tibial plafond fractures. Clin Orthop Relat Res. 1997;(341): 99-105. (Pubitemid 27333126)
9. Egol KA, Wolinsky P, Koval KJ. Open reduction and internal fixation of tibial pilon fractures. Foot Ankle Clin. 2000;5:873-885.
10. Bourne RB. Pylon fractures of the distal tibia. Clin Orthop Relat Res. 1989;(240):42-46. (Pubitemid 19072120)
11. Ovadia DN, Beals RK. Fractures of the tibial plafond. J Bone Joint Surg Am. 1986;68:543-551. (Pubitemid 16055556)
12. Rüedi TP, Allgöwer M. The operative treatment of intra-articular fractures of the lower end of the tibia. Clin Orthop Relat Res. 1979;(138):105-110. (Pubitemid 9199090)
13. 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. (Pubitemid 23206258)
14. Anglen JO. Early outcome of hybrid external fixation for fracture of the distal tibia. J Orthop Trauma. 1999;13:92-97. (Pubitemid 128701912)
15. Barbieri R, Schenk R, Koval K, et al. Hybrid external fixation in the treatment of tibial plafond fractures. Clin Orthop Relat Res. 1996;(332): 16-22. (Pubitemid 26372847)
16. Bone L, Stegemann P, McNamara K, et al. External fixation of severely comminuted and open tibial pilon fractures. Clin Orthop Relat Res. 1993; (292):101-107. (Pubitemid 23206257)
17. Marsh JL, Bonar S, Nepola JV, et al. Use of an articulated external fixator for fractures of the tibial plafond. J Bone Joint Surg Am. 1995;77:1498-1509.
18. Marsh JL, Nepola JV, Wuest TK, et al. Unilateral external fixation until healing with the dynamic axial fixator for severe open tibial fractures. J Orthop Trauma. 1991;5:341-348.
19. Tornetta P III,Weiner L, Bergman M, et al. Pilon fractures: Treatment with combined internal and external fixation. J Orthop Trauma. 1993;7: 489-496.
20. Wyrsch B, McFerran MA, McAndrew M, et al. Operative treatment of fractures of the tibial plafond. A randomized, prospective study. J Bone Joint Surg Am. 1996;78:1646-1657. (Pubitemid 27020611)
21. Dickson KF, Montgomery S, Field J. High energy plafond fractures treated by a spanning external fixator initially and followed by a second stage open reduction internal fixation of the articular surface-preliminary report. Injury. 2001;32(suppl 4):SD92-SD98.
22. Assal M, Ray A, Stern R. The extensile approach for the operative treatment of high-energy pilon fractures: Surgical technique and softtissue healing. J Orthop Trauma. 2007;21:198-206. (Pubitemid 46673841)
23. Blauth M, Bastian L, Krettek C, et al. Surgical options for the treatment of severe tibial pilon fractures: A study of three techniques. J Orthop Trauma.2001;15:153-160. (Pubitemid 33599794)
24. Borens O, Kloen P, Richmond J, et al. Minimally invasive treatment of pilon fractures with a low profile plate: Preliminary results in 17 cases. Arch Orthop Trauma Surg. 2009;129:649-659.
25. Borrelli J Jr, Prickett W, Song E, et al. Extraosseous blood supply of the tibia and the effects of different plating techniques: A human cadaveric study. J Orthop Trauma. 2002;16:691-695. (Pubitemid 36790459)
26. Chen L, O'Shea K, Early JS. The use of medial and lateral surgical approaches for the treatment of tibial plafond fractures. J Orthop Trauma. 2007;21:207-211. (Pubitemid 46673842)
27. Herscovici D Jr, Sanders RW, Infante A, et al. Bohler incision: An extensile anterolateral approach to the foot and ankle. J Orthop Trauma. 2000;14: 429-432.
28. Kao KF, Huang PJ, Chen YW, et al. Postero-medio-anterior approach of the ankle for the pilon fracture. Injury. 2000;31:71-74.
29. Konrath GA, Hopkins G II. Posterolateral approach for tibial pilon fractures: A report of two cases. J Orthop Trauma. 1999;13:586-589.
30. Mehta S, Gardner MJ, Barei DP, et al. Reduction strategies through the anterolateral exposure for fixation of type B and C pilon fractures. J Orthop Trauma. 2011;25:116-122.
31. Patterson MJ, Cole JD. Two-staged delayed open reduction and internal fixation of severe pilon fractures. J Orthop Trauma. 1999;13:85-91.
32. Tornetta P III, Gorup J. Axial computed tomography of pilon fractures. Clin Orthop Relat Res. 1996;(323):273-276. (Pubitemid 26065453)
33. White TO, Guy P, Cooke CJ, et al. The results of early primary open reduction and internal fixation for treatment of OTA 43. C-type tibial pilon fractures: A cohort study. J Orthop Trauma. 2010;24:757-763.
34. Dirschl DR, Adams GL. A critical assessment of factors influencing reliability in the classification of fractures, using fractures of the tibial plafond as a model. J Orthop Trauma. 1997;11:471-476. (Pubitemid 127730509)
35. Martin JS, Marsh JL, Bonar SK, et al. Assessment of the AO/ASIF fracture classification for the distal tibia. J Orthop Trauma. 1997;11: 477-483. (Pubitemid 127730510)
36. Ramappa M, Bajwa A, Singh A, et al. Interobserver and intraobserver variations in tibial pilon fracture classification systems. Foot (Edinb). 2010;20:61-63.
37. Swiontkowski MF, Sands AK, Agel J, et al. Interobserver variation in the AO/OTA fracture classification system for pilon fractures: Is there a problem? J Orthop Trauma. 1997;11:467-470. (Pubitemid 127730508)
38. DeCoster TA, Willis MC, Marsh JL, et al. Rank order analysis of tibial plafond fractures: Does injury or reduction predict outcome? Foot Ankle Int. 1999;20:44-49. (Pubitemid 29047237)
39. Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: Retrospective and prospective analyses. J Bone Joint Surg Am. 1976;58: 453-458.
40. Sirkin M, Sanders R. The treatment of pilon fractures. Orthop Clin North Am. 2001;32:91-102. (Pubitemid 32066433)
41. Mehta SK, Breitbart EA, Berberian WS, et al. Bone and wound healing in the diabetic patient. Foot Ankle Clin. 2010;15:411-437.
42. Mills E, Eyawo O, Lockhart I, et al. Smoking cessation reduces postoperative complications: A systematic review and meta-analysis. Am J Med. 2011;124:144-154. e148.
43. Wukich DK, Joseph A, Ryan M, et al. Outcomes of ankle fractures in patients with uncomplicated versus complicated diabetes. Foot Ankle Int. 2011;32:120-130.
44. Barei DP, Nork SE, Bellabarba C, et al. Is the absence of an ipsilateral fibular fracture predictive of increased radiographic tibial pilon fracture severity? J Orthop Trauma. 2006;20:6-10. (Pubitemid 44378187)
45. Dunbar RP, Barei DP, Kubiak EN, et al. Early limited internal fixation of diaphyseal extensions in select pilon fractures: Upgrading AO/OTA type C fractures to AO/OTA type B. J Orthop Trauma. 2008;22: 426-429.
46. Howard JL, Agel J, Barei DP, et al. A prospective study evaluating incision placement and wound healing for tibial plafond fractures. J Orthop Trauma. 2008;22:299-305; discussion 305-296.
47. Bonar SK, Marsh JL. Tibial plafond fractures: Changing principles of treatment. J Am Acad Orthop Surg. 1994;2:297-305.
48. Mast JW, Spiegel PG, Pappas JN. Fractures of the tibial pilon. Clin Orthop Relat Res. 1988;(230):68-82.
49. Thordarson DB. Complications after treatment of tibial pilon fractures: Prevention and management strategies. J Am Acad Orthop Surg. 2000;8:253-265.
50. Casey D, McConnell T, Parekh S, et al. Percutaneous pin placement in the medial calcaneus: Is anywhere safe? J Orthop Trauma. 2002;16:26-29. (Pubitemid 34055936)
51. Wagner HE, Jakob RP. [Plate osteosynthesis in bicondylar fractures of the tibial head]. Unfallchirurg. 1986;89:304-311.
52. Tscherne H, Gotzen L. Fractures With Soft Tissue Injuries. Berlin, Germany: SPRINGER-Verlag; 1984.
53. Tscherne H, Schatzker J. Major Fractures of the Pilon, the Talus, and the Calcaneus. Heidelberg, Germany: SPRINGER-Verlag; 1993.
54. McFerran MA, Smith SW, Boulas HJ, et al. Complications encountered in the treatment of pilon fractures. J Orthop Trauma. 1992;6:195-200.
55. Giordano CP, Koval KJ. Treatment of fracture blisters: A prospective study f 53 cases. J Orthop Trauma. 1995;9:171-176.
56. Boraiah S, Kemp TJ, Erwteman A, et al. Outcome following open reduction and internal fixation of open pilon fractures. J Bone Joint Surg Am. 2010;92:346-352.
57. Ruedi T, Matter P, Allgower M. [Intra-articular fractures of the distal tibial end]. Helv Chir Acta. 1968;35:556-582.
58. Muller FJ, Nerlich M. Tibial pilon fractures. Acta Chir Orthop Traumatol Cech. 2010;77:266-276.
59. Tscherne H, Schatzker J. Manual of Internal Fixation Techniques Recommended by the AO Group. New York, NY: SPRINGER-Verlag; 1979.
60. Schatzker J, Tile M. The Rationale of Operative Fracture Care. 3rd ed. Berlin, Germany: SPRINGER-Verlag; 2005.
61. Borrelli J Jr, Catalano L. Open reduction and internal fixation of pilon fractures. J Orthop Trauma. 1999;13:573-582.
62. Gould JS. Reconstruction of soft tissue injuries of the foot and ankle with microsurgical techniques. Orthopedics. 1987;10:151-157. (Pubitemid 17082125)
63. McCann PA, Jackson M, Mitchell ST, et al. Complications of definitive open reduction and internal fixation of pilon fractures of the distal tibia. Int Orthop. 2011;35:413-418.
64. Bhattacharyya T, Crichlow R, Gobezie R, et al. Complications associated with the posterolateral approach for pilon fractures. J Orthop Trauma. 2006;20:104-107. (Pubitemid 44378176)
65. Hazarika S, Chakravarthy J, Cooper J. Minimally invasive locking plate osteosynthesis for fractures of the distal tibia-results in 20 patients. Injury. 2006;37:877-887. (Pubitemid 44223509)
66. Vallier HA, Le TT, Bedi A. Radiographic and clinical comparisons of distal tibia shaft fractures (4 to 11 cm proximal to the plafond):plating versus intramedullary nailing. J Orthop Trauma. 2008;22: 307-311. (Pubitemid 351630243)
67. Gagneux E, Gerard F, Garbuio P, et al. [Treatment of complex fractures of the ankle and their sequellae using trans-plantar intramedullary nailing].Acta Orthop Belg. 1997;63:294-304. (Pubitemid 28035604)
68. Niikura T, Miwa M, Sakai Y, et al. Ankle arthrodesis using antegrade intramedullary nail for salvage of nonreconstructable tibial pilon fractures. Orthopedics. 2009;32.