Abstract：
OBJECTIVE:To compare the results of two-staged open reduction and internal fixation (ORIF) and limited internal fixation with external fixator (LIFEF) for closed tibial plafond fractures. METHODS:From January 2005 to June 2007, 56 patients with closed type B3 or C Pilon fractures were randomly allocated into groups I and II. Two-staged ORIF was performed in group I and LIFEF in group II. The outcome measures included bone union, nonunion, malunion, pin-tract infection, wound infection, osteomyelitis, ankle joint function, etc. These postoperative data were analyzed with Statistical Package for Social Sciences (SPSS) 13.0. RESULTS:Incidence of superficial soft tissue infection (involved in wound infection or pin-tract infection) in group I was lower than that in group II (P < 0.05), with significant difference. Group I has significantly less radiation exposure (P < 0.001). Group II had higher rates of malunion, delayed union, and arthritis symptoms, with no statistical significance. Both groups resulted similar ankle joint function. Logistic regression analysis indicated that smoking and fracture pattern were the two factors significantly influencing the final outcomes. CONCLUSIONS:In the treatment of closed tibial plafond fractures, both two-staged ORIF and LIFEF offer similar results. Patients undergo LIFEF carry significantly greater radiation exposure and higher superficial soft tissue infection rate (usually occurs on pin tract and does not affect the final outcomes).
journal_name
Arch Orthop Trauma Surgjournal_title
Archives of orthopaedic and trauma surgeryauthors
Wang C,Li Y,Huang L,Wang Mdoi
10.1007/s00402-010-1075-6subject
Has Abstractpub_date
2010-10-01 00:00:00pages
1289-97issue
10eissn
0936-8051issn
1434-3916journal_volume
130pub_type
杂志文章,随机对照试验abstract：INTRODUCTION:The study objective was to ascertain the incidence of bleeding and ischemic complications related to acute and planned orthopedic surgery in patients with known cardiovascular diseases. MATERIALS AND METHODS:The study conducted between 2010 and 2013 enrolled 477 patients (289 women, 188 men) with a diagno...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 临床试验,杂志文章
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abstract：INTRODUCTION:Traditionally, bacterial cultures serve as the gold standard for the detection of drug resistance and can provide evidence for directing the treatment of tuberculosis. However, this method has a low positive rate and is time consuming, which significantly limits its wide application. Thus, in the present s...
journal_title：Archives of orthopaedic and trauma surgery
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journal_title：Archives of orthopaedic and trauma surgery
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journal_title：Archives of orthopaedic and trauma surgery
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journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
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journal_title：Archives of orthopaedic and trauma surgery
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更新日期：2020-08-01 00:00:00
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journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章,评审
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journal_title：Archives of orthopaedic and trauma surgery
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更新日期：2018-02-01 00:00:00
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journal_title：Archives of orthopaedic and trauma surgery
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更新日期：1994-01-01 00:00:00
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更新日期：2011-01-01 00:00:00
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journal_title：Archives of orthopaedic and trauma surgery
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journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章,随机对照试验
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journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
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journal_title：Archives of orthopaedic and trauma surgery
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journal_title：Archives of orthopaedic and trauma surgery
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