{"title":"微创技术治疗胫骨Pilon骨折:新方法和有希望的结果。","authors":"Yassine Ben Bouzid, Rida-Allah Bassir, Monsef Boufettal, Jalal Mekkaoui, Mohamed Kharmaz, Moulay Omar Lamrani, Mohamed Saleh Berrada","doi":"10.1155/2023/1272490","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Comminuted tibial pilon fractures are induced by high-energy mechanisms and are often associated with soft tissue injuries. Their surgical approach is problematic due to postoperative complications. Minimally invasive management of these fractures has a considerable advantage in preserving the soft tissue and the fracture hematoma.</p><p><strong>Materials and methods: </strong>We conducted a retrospective study of a series of 28 cases treated at the Orthopedic and Traumatological Surgery Department of the CHU Ibn Sina in Rabat over a period of 3 years and 9 months, from January 2018 to September 2022.</p><p><strong>Results: </strong>After a mean follow-up of 16 months, 26 cases had good clinical results according to the Biga SOFCOT criteria and 24 cases had good radiological results according to the Ovadia and Beals criteria. No cases of osteoarthritis were observed. No skin complications were reported.</p><p><strong>Conclusion: </strong>This study highlights a new approach that deserves to be considered for this type of fracture as long as no consensus has been given.</p>","PeriodicalId":7358,"journal":{"name":"Advances in Orthopedics","volume":"2023 ","pages":"1272490"},"PeriodicalIF":1.2000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049847/pdf/","citationCount":"0","resultStr":"{\"title\":\"Minimally Invasive Technique in the Management of Tibial Pilon Fractures: New Approach and Promising Results.\",\"authors\":\"Yassine Ben Bouzid, Rida-Allah Bassir, Monsef Boufettal, Jalal Mekkaoui, Mohamed Kharmaz, Moulay Omar Lamrani, Mohamed Saleh Berrada\",\"doi\":\"10.1155/2023/1272490\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Comminuted tibial pilon fractures are induced by high-energy mechanisms and are often associated with soft tissue injuries. Their surgical approach is problematic due to postoperative complications. Minimally invasive management of these fractures has a considerable advantage in preserving the soft tissue and the fracture hematoma.</p><p><strong>Materials and methods: </strong>We conducted a retrospective study of a series of 28 cases treated at the Orthopedic and Traumatological Surgery Department of the CHU Ibn Sina in Rabat over a period of 3 years and 9 months, from January 2018 to September 2022.</p><p><strong>Results: </strong>After a mean follow-up of 16 months, 26 cases had good clinical results according to the Biga SOFCOT criteria and 24 cases had good radiological results according to the Ovadia and Beals criteria. No cases of osteoarthritis were observed. No skin complications were reported.</p><p><strong>Conclusion: </strong>This study highlights a new approach that deserves to be considered for this type of fracture as long as no consensus has been given.</p>\",\"PeriodicalId\":7358,\"journal\":{\"name\":\"Advances in Orthopedics\",\"volume\":\"2023 \",\"pages\":\"1272490\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2023-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049847/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Advances in Orthopedics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1155/2023/1272490\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Advances in Orthopedics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/2023/1272490","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
摘要
背景:粉碎性胫骨pilon骨折是由高能机制引起的，通常与软组织损伤有关。由于术后并发症，他们的手术方法存在问题。微创治疗这些骨折在保存软组织和骨折血肿方面具有相当大的优势。材料和方法:我们对2018年1月至2022年9月在拉巴特CHU Ibn Sina骨科和创伤外科治疗的28例患者进行了回顾性研究，时间为3年零9个月。结果:平均随访16个月，按Biga SOFCOT标准临床效果良好26例，按Ovadia和Beals标准放射学效果良好24例。无骨关节炎病例。无皮肤并发症报道。结论:本研究强调了一种值得考虑的新方法，只要尚未达成共识。
Minimally Invasive Technique in the Management of Tibial Pilon Fractures: New Approach and Promising Results.
Background: Comminuted tibial pilon fractures are induced by high-energy mechanisms and are often associated with soft tissue injuries. Their surgical approach is problematic due to postoperative complications. Minimally invasive management of these fractures has a considerable advantage in preserving the soft tissue and the fracture hematoma.
Materials and methods: We conducted a retrospective study of a series of 28 cases treated at the Orthopedic and Traumatological Surgery Department of the CHU Ibn Sina in Rabat over a period of 3 years and 9 months, from January 2018 to September 2022.
Results: After a mean follow-up of 16 months, 26 cases had good clinical results according to the Biga SOFCOT criteria and 24 cases had good radiological results according to the Ovadia and Beals criteria. No cases of osteoarthritis were observed. No skin complications were reported.
Conclusion: This study highlights a new approach that deserves to be considered for this type of fracture as long as no consensus has been given.
期刊介绍：
Advances in Orthopedics is a peer-reviewed, Open Access journal that provides a forum for orthopaedics working on improving the quality of orthopedic health care. The journal publishes original research articles, review articles, and clinical studies related to arthroplasty, hand surgery, limb reconstruction, pediatric orthopaedics, sports medicine, trauma, spinal deformities, and orthopaedic oncology.
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