The analysis of the variables, affecting outcome in surgically treated tibia pilon fractured patients

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dc.authoridOzcan, Mert/0000-0002-2009-1881
dc.authorwosidÇiftdemir, Mert/AAH-9210-2020
dc.contributor.authorKorkmaz, Aytel
dc.contributor.authorCiftdemir, Mert
dc.contributor.authorOzcan, Mert
dc.contributor.authorCopuroglu, Cem
dc.contributor.authorSaridogan, Kenan
dc.date.accessioned2024-06-12T11:12:24Z
dc.date.available2024-06-12T11:12:24Z
dc.date.issued2013
dc.departmentTrakya Üniversitesien_US
dc.description.abstractIntroduction: Treatment of tibia pilon fractures is challenging. Outcome after tibia pilon fractures depend on multiple factors. Aim of this study is to evaluate the potential variables that are known to affect the outcome after tibia pilon fractures. Patients and methods: Forty patients with 42 tibia pilon fractures with a one-year follow-up, who had undergone surgical treatment between January 2007 and June 2011, were evaluated, retrospectively. Patients were divided into 3 groups regarding the choice of surgical treatment (Group A-22 patients treated with open reduction-internal fixation; Group B-9 patients treated with mini-open reduction-internal fixation and external fixation; and Group C-11 patients treated with closed reduction-external fixation). Fractures were classified using Muller-AO and Ruedi/Allgower classifications. Quality of reduction was evaluated using Ovadia and Beals' criteria. All patients underwent functional assessment using AOFAS ankle-hindfoot scale and Teeny-Wiss scoring system at the last follow-up. Results: Mean age of the patients was 49 (20-80). There were eight 43-B3, six 43-C1, twelve 43-C2 and sixteen 43-C3 fractures according to Muller-AO classification and ten type 1, ten type 2 and twenty two type 3 fractures according to Ruedi/Allgower classification. There were 15 (35.7%) open fractures. No statistically significant relation was found between quality of reduction and type of surgery. Also no significant relation was found between the type of surgery and functional scores. No significant correlation was found between functional scores and Muller-AO classification, but functional scores were found significantly worse in Ruedi/Allgower type 3 fractures. Functional scores were found significantly related to the quality of reduction. Early complications were seen in 22 and late complications were seen in 9 fractures. No statistically significant relation was found between complications, type of surgery and functional scores. Conclusion: The most important factor affecting outcome in surgically treated tibia pilon fractures was quality of reduction. Poor functional scores were found independent from the type of surgery and quality of reduction in Ruedi/Allgower type 3 fractures, which was characterized with articular surface comminution and metaphyseal impaction. (C) 2013 Elsevier Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.injury.2013.06.016
dc.identifier.endpage1274en_US
dc.identifier.issn0020-1383
dc.identifier.issn1879-0267
dc.identifier.issue10en_US
dc.identifier.pmid23871428en_US
dc.identifier.scopus2-s2.0-84887817703en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1270en_US
dc.identifier.urihttps://doi.org/10.1016/j.injury.2013.06.016
dc.identifier.urihttps://hdl.handle.net/20.500.14551/23164
dc.identifier.volume44en_US
dc.identifier.wosWOS:000323940900003en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofInjury-International Journal Of The Care Of The Injureden_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPilon Fracturesen_US
dc.subjectSurgical Treatmenten_US
dc.subjectFunctional Outcomesen_US
dc.subjectInternal-Fixationen_US
dc.subjectPlafond Fracturesen_US
dc.subjectOpen Reductionen_US
dc.subjectIntraarticular Fracturesen_US
dc.subjectOperative Treatmenten_US
dc.subjectExternal Fixationen_US
dc.titleThe analysis of the variables, affecting outcome in surgically treated tibia pilon fractured patientsen_US
dc.typeArticleen_US

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