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  • Zapleti pri pilon-zlomih golenice : ali vplivajo na izid zdravljenja = Complications in pilon-fractures of the tibia : do they influence the outcome of treatment
    Andoljšek, Matej
    Background. The pilon fracture of the tibia carries a high risk of complications. In retrospective study the author asked, whether and which complications have influenced the outcome after operative ... treatment of pilon fractures. Methods. From 1990 to 1996 thirty pilon fractures of the distal tibia were operated in General Hospital Jesenice, Slovenia. Nineteen fractures(63%) were displaced intraarticular (AO/ASIF: 43-B2, C1 and C2; Type II according to Ruedi and Allgower), eleven fractures (37%) had intraarticularcomminution (AO/ASIF:43-B3 in C3; Type III). Eight fractures were open (27%). Eleven fractures were treated with minimal osteosynthesis (infive external fixator was added) and nineteen with plate fixation. Thirteenfractures were operated urgently (in first eight hours after injury). Among seventeen delayed treated fractures only two operations were delayed forseven days or more. Fourteen cases had at least one complication (secondarydislocation 2x, deep vein thrombosis 1x, toe contracture 1x, wound edge necrosis 2x, superficial infection 5x, osteitis/osteoarthritis 3x). Pain,range of motion and arthritic changes were evaluated at follow up. The worst of the factors determined the result of treatment. Results. Twenty-eightpatients were evaluated on average five years after injury (25-102months). Four patients have excellent, fourteen good, three fair and seven poor result. Stratified statistical analysis showed that type of fracture was the risk factor of unsuccessful outcome. Fractures with intraarticular comminution (Type III) have significantly worse results. (Abstract truncated at 2000 characters)
    Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 74, št. 6, 2005, str. 351-358)
    Vrsta gradiva - članek, sestavni del
    Leto - 2005
    Jezik - slovenski
    COBISS.SI-ID - 19575513

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