Primary Arthrodesis for Tibial Pilon Fractures.
Staged primary ankle arthrodesis is a viable option for high-energy pilon fractures that are nonreconstructible, in patients with delay in treatment or multiple medical comorbidities, or in patients with peripheral neuropathy. Small retrospective series demonstrate high union and low wound complication rates, although further studies are needed to determine the long-term results. Ankle arthrodesis offers decreased complication rates while eliminating the potential of posttraumatic ankle arthritis pain.
Hinsdale Orthopaedics, 550 W Odgen Ave, Hinsdale, IL, USA.
Bryant
B
Ho
Department of Orthopaedics, University of Rochester Medical Center, 601 Elmwood Avenue, Box 665, Rochester, NY 14642, USA. Electronic address: John_Ketz@urmc.rochester.edu.
John
J
Ketz
D000843:Ankle Joint / Q000601:surgery*; D001174:Arthrodesis; D005593:Fracture Fixation, Internal; D006801:Humans; D057072:Intra-Articular Fractures / Q000601:surgery*; D000070799:Open Fracture Reduction; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*
Ankle arthrodesis; Ankle fusion; Distal tibia fracture; Pilon fracture; Primary fusion