Trends in Clinical and Medical Sciences
Special issue: Recent developments of medical and surgical research (2023), pp. 24 – 33
ISSN: 2791-0814 (online) 2791-0806 (Print)
DOI: 10.30538/psrp-tmcs2023.si-rdmsr004
ISSN: 2791-0814 (online) 2791-0806 (Print)
DOI: 10.30538/psrp-tmcs2023.si-rdmsr004
Functional outcome of external fixator in Pilon fracture
Satish R Gawali\(^{1,*}\), Yogesh Teke\(^{1}\) and Abhay Kawedial\(^{1}\)
\(^{1}\) Department of Orthopaedics, Government Medical College and Hospital, Aurangabad, Maharashtra, India.
Correspondence should be addressed to Satish R Gawali at satishgawali61@gmail.com
Copyright © 2023 Satish R Gawali, Yogesh Teke and Abhay Kawedia. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: October 28, 2022 – Accepted: February 12, 2023 – Published: February 28, 2023
Abstract
Background: Pilon fractures are complex fractures of the lower limb in adults that can be managed by various modalities, including open reduction and internal fixation (ORIF), external fixation, and conservative management.
Materials and Methodology: In this study, 30 patients with pilon fractures were treated with external fixation at a tertiary care center. The patients were followed up for 12 months, and their functional outcomes were evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle and Hindfoot Score.
Results: The results showed that the use of external fixation led to a significant improvement in functional outcome in patients with pilon fractures, including range of motion, pain, and anatomical reduction.
Conclusion: External fixation is a less invasive and less time-consuming surgical modality for the treatment of pilon fractures. This technique has a favourable functional outcome and can be considered as an effective option for managing this complex fracture in adults.
Materials and Methodology: In this study, 30 patients with pilon fractures were treated with external fixation at a tertiary care center. The patients were followed up for 12 months, and their functional outcomes were evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle and Hindfoot Score.
Results: The results showed that the use of external fixation led to a significant improvement in functional outcome in patients with pilon fractures, including range of motion, pain, and anatomical reduction.
Conclusion: External fixation is a less invasive and less time-consuming surgical modality for the treatment of pilon fractures. This technique has a favourable functional outcome and can be considered as an effective option for managing this complex fracture in adults.
Keywords:
Pilon fracture; External fixator; AOFAS.