Open AccessThe damage control in tibial pilon open fractures with a new external fixator delta frame
Author(s) -
Giuseppe Rollo,
Andrea Pasquino,
Paolo Pichierri,
Michele Bisaccia,
Alessandro Stasi,
Marco Giaracuni,
Niki Cazzella,
Luigi Meccariello
Publication year - 2017
Publication title -
journal of acute disease
Language(s) - English
Resource type - Journals
eISSN - 2589-5516
pISSN - 2221-6189
DOI - 10.4103/2221-6189.219618
Subject(s) - medicine , ankle , surgery , soft tissue , external fixator , orthopedic surgery , pilon fracture , tibia , damage control , external fixation
Objective: To evaluate the effectiveness of the damage control, in emergency to treat the\udopen tibial pilon fractures with Dolphix?External Fixator Frame(CITIEFFE? Calderara di\udReno, Bologna, Italy). Methods: From January 2017 to August 2017, at the Department of\udOrthopedics and Traumatology of Vito Fazzi Hospital Lecce, we treated 23 open tibial pilon\udfractures with Dolphix?External Fixator Frame(CITIEFFE? Calderara di Reno, Bologna,\udItaly). The evaluation criteria of the case series were: the time needed to assemble the external\udfixator; the time taked to treat the ankle associated lesions; the time of skin healing; the ankle\udalignment; the subjective/objective Ovadia and Beals score; and complications. The Endpoint\udassessment was set at the days of the definitive surgery. Results: The results in terms of\udalignment, biomechanical stability of the frame, healing of soft tissue, complications were as\udgood as the objective and subjective results according Ovadia and Beals score. Conclusion:\udPilon fractures are complex and often present complications; the damage control treatment, in\udemergency, with Dolphix?External Fixator Frame(CITIEFFE? Calderara di Reno, Bologna,\udItaly) permits a stable osteotaxis with minimal soft tissue damage and permit the repair of\udmuscles, blood vessels and nerves with a stable bone and the soft tissue healing with vaccum\udtherapy