Efficacy Analysis of Anteromedial Extensile Approach in the Treatment of Complicated Closed Pilon Fractures
- VernacularTitle:采用前内侧扩大入路治疗复杂闭合性 pilon 骨折的疗效分析
- Author:
Zixian CHEN
1
;
Nanchun JIANG
;
Yuanwu CAO
;
Xiao WU
;
Deyuan SHI
Author Information
1. 复旦大学附属中山医院骨科
- Keywords:
Pilon fractures;
Anteromedial extensile approach;
Internal fixation
- From:
Chinese Journal of Clinical Medicine
2015;(2):176-180
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy of anteromedial extensile approach in the treatment of complicated closed pilon fractures classified as type AO/OTA C2 or C3 . Methods:Twenty‐three patients ,who suffered from complicated closed pilon fractures of distal tibia(25 lesions) ,underwent open reduction and internal fixation with anteromedial extensile approach . Among the 23 patients , there were 18 males and 5 females , with mean age of (43 .7 ± 9 .0 ) years . According to AO classification ,there were 11 lesions of type C2 and 14 lesions of type C3 .Operating time ,blood loss ,time of fracture healing , situation of complications ,and American Orthopedic Foot&Ankle Society(AOFAS) score were recorded ,so as to analyze the safety ,the indication ,and the pros and cons of this approach . Results:The average operating time was (119 .6 ± 23 .6)min . The intraoperative blood loss was (168 ± 64 .4) mL .And the time of fracture healing was (12 .5 ± 5 .4)weeks .The AOFAS scores were 81 .9 ± 18 .2 and 79 .9 ± 19 .5 at 12 month and 24 month after surgery ,respectively .Four cases of complications were observed , and there was no patient with invalid internal fixation . Conclusion:During the surgical treatment of complicated closed pilon fractures ,the anteromedial extensile approach allows complete access to the medial and lateral column of distal tibia and the articular surface ,so that the incidence rate of soft tissue complications was low and the clinical efficacy was satisfactory .
