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Complete reduction for pilon fracture can make complete failure / Lee Kwang-Bok in Journal of the American Podiatric Medical Association, vol. 108, 3 (Mai - juin 2018)
[article]
in Journal of the American Podiatric Medical Association > vol. 108, 3 (Mai - juin 2018) . - p. 257-261
Titre : Complete reduction for pilon fracture can make complete failure Type de document : article de périodique Auteurs : Lee Kwang-Bok ; [et al.] Année de publication : 2018 Article en page(s) : p. 257-261 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:complications
[Thésaurus HELB]:Paramédical:Pilon tibial
[Thésaurus Mesh]Fractures osseuses
[Thésaurus Mesh]ThérapeutiqueMots-clés : Tibial pilon therapeutics fractures, bone Résumé : The surgical management of distal intra-articular comminuted fracture of the tibia (pilon fracture) is difficult because complications frequently develop. The minimally invasive plate osteosynthesis technique is generally accepted for this type of fracture. In this study, complications developed after open reduction and internal fixation using multiple miniplates for accurate reduction of small fracture fragments. Therefore, when we use this technique, we need to pay attention to the development of complications such as nonunion, avascular necrosis, and osteomyelitis by the disruption of both endosteal blood supply by fracture and periosteal blood supply during approach or reduction Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible Lateral Transfibular Approach to Tibial Pilon Fractures: A Case Report / Bilgehan Tosun in Journal of the American Podiatric Medical Association, vol. 109,06 (Novembre-décembre 2019)
[article]
in Journal of the American Podiatric Medical Association > vol. 109,06 (Novembre-décembre 2019)
Titre : Lateral Transfibular Approach to Tibial Pilon Fractures: A Case Report Type de document : article de périodique Auteurs : Bilgehan Tosun ; Ozgur Selek Année de publication : 2019 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Chirurgie générale
[Thésaurus Mesh]Fractures osseuses
[Thésaurus Mesh]Thérapeutique
[Thésaurus HELB]:Paramédical:Pilon tibialRésumé : We present a case of tibial pilon fracture where only the lateral part of the distal tibia was affected. The transfibular approach to the ankle was used for the surgical treatment of the fracture. After an initial nonweightbearing period of 3 weeks, full weightbearing was allowed 8 weeks after surgery. The second-year follow-up showed no evidence of degenerative signs, with full ankle range of motion. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Successful treatment of infected wound dehiscence after minimally invasive locking-plate osteosynthesis of tibial pilon and calcaneal fractures by plate preservation, surgical debridement and antibiotics / Pedro Berjano in The Foot, 33 (Décembre 2017-février 2018)
[article]
in The Foot > 33 (Décembre 2017-février 2018) . - p. 44-47
Titre : Successful treatment of infected wound dehiscence after minimally invasive locking-plate osteosynthesis of tibial pilon and calcaneal fractures by plate preservation, surgical debridement and antibiotics Type de document : article de périodique Auteurs : Pedro Berjano, Auteur ; [et al.], Auteur Année de publication : 2017 Article en page(s) : p. 44-47 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:I:Infection de plaie:Infection de plaie / thérapie
[Thésaurus Mesh]Fractures osseuses
[Thésaurus Mesh]Infection de plaie
[Thésaurus Mesh]Ostéosynthèse
[Thésaurus Mesh]Pied
[Thésaurus HELB]:Paramédical:Pilon tibialMots-clés : Osteosynthesis Fractures Foot Tibial pilon Calcaneaus Minimally invasive plate osteosynthesis Infected wound Résumé : Objective: The aim is to present a case series that illustrates possible benefits from combining minimally invasive
plate osteosynthesis (MIPO), plastic surgery and antibiotic therapy, in order to treat and eradicate infection in
patients with tibial pilon or calcaneal fractures.
Methods: Eleven consecutive patients with dehiscence of the surgical wound in outcomes MIPO using a Locking
Compression Plate (LCP) for tibial pilon, or calcaneus fractures. The patients had developed a documented
infection of the surgical wound. All patients were treated and followed-up by the multidisciplinary team with the
orthopedic surgeon, the plastic surgeon and the infectious disease physician. All patients were followed by the
plastic surgeon to treat the wound dehiscence, as well as by the orthopedic surgeon until fracture consolidation.
The duration of the antibiotic therapy was from 4 to 6 months. After 6 weeks, the intravenous treatment was
replaced by oral administration. The follow-up intervals were 15 days, 40 days, and 3 months.
Results: The average time of wound closure was 109 ± 60 days. The antibiotics used were chosen according to
the antibiogram. The antibiotic therapy had a duration of 4–6 months, and after 6 weeks, the therapy switched to
oral administration. At the 3-month follow-up, all patients had excellent outcomes and had returned to their
normal activity of daily living.
Conclusion: The patients in this study responded positively to a combination of MIPO, plastic surgery and antibiotic
therapy, confirming that multidisplinary treatment in association with titanium devices are able to
eradicate infection in short time.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité F Périodique Erasme - périodiques Périodiques Disponible F Périodique Erasme - périodiques Périodiques Disponible