1 40 1 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. URL Address <a href="http://doi.org/10.1016/j.injury.2007.09.003" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.injury.2007.09.003</a> Rights Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s). Pages 196-202 Issue 2 Volume 39 Search for Full-text Locate full-text within NEOMED Library's e-journal collections <p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p> Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource A retrospective analysis of comminuted intra-articular fractures of the tibial plafond: Open reduction and internal fixation versus external Ilizarov fixation Publisher An entity responsible for making the resource available Injury-International Journal of the Care of the Injured Date A point or period of time associated with an event in the lifecycle of the resource 2008 2008-02 Subject The topic of the resource outcomes; Emergency Medicine; Surgery; management; Orthopedics; General & Internal Medicine; fixation; external; Ilizarov; internal fixation; operative treatment; pilon fracture; pilon fractures; protocol; tibial plafond fracture Creator An entity primarily responsible for making the resource Bacon S; Smith W R; Morgan S J; Hasenboehler E; Philips G; Williams A; Ziran B H; Stahel P F Description An account of the resource Intra-articular fractures of the tibial plafond are complex injuries which continue to challenge orthopaedic surgeons in achieving anatomic reduction, while allowing early weight bearing and return to activity. Although a wide range of treatment options has been described for fixation of piton fractures, the unique characteristic of each injury makes it difficult to advocate a general method of choice. We have attempted to compare a subset of AO/OTA type C piton fractures treated either by a staged procedure of external fixation and conversion to open reduction and internal fixation (ORIF) versus definitive external Ilizarov fixation. Between 1998 and 2004, 42 patients admitted to our level 1 trauma centre underwent either procedure and were followed prospectively. Twenty-eight patients were treated with ORIF and 14 were treated by Ilizarov ring fixator. The outcome measures included time to union, as well as the rates of union, nonunion, malunion and infection. Although the ORIF group had a longer time to heal, the rates of nonunion, malunion and infection were lower compared to the Ilizarov group. However, these differences between the groups were not statistically significant. Thus, based on these results, no clinical recommendation can be made as to which procedure is better and safer for the patient. Future prospective randomised trials are required to determine with more scientific accuracy the optimal treatment strategy for these challenging injuries. (c) 2007 Elsevier Ltd. All rights reserved. Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.1016/j.injury.2007.09.003" target="_blank" rel="noreferrer noopener">10.1016/j.injury.2007.09.003</a> Format The file format, physical medium, or dimensions of the resource Journal Article or Conference Abstract Publication 2008 Bacon S Emergency Medicine External Fixation General & Internal Medicine Hasenboehler E Ilizarov Injury-International Journal of the Care of the Injured internal fixation Journal Article or Conference Abstract Publication Management Morgan S J operative treatment Orthopedics outcomes Philips G pilon fracture pilon fractures protocol Smith W R Stahel P F Surgery tibial plafond fracture Williams A Ziran B H