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Master Thesis

Évaluation du fixateur externe péri-articulaire type TL-HEX Trauma dans les fractures du pilon tibial : série rétrospective de 47 cas

Abstract : Background. The fractures of the pilon tibial remain a therapeutic challenge without real reference treatment with serious skin complications. Peri-articular external fixation (PA-EF) seems to obtain good results but no study has reported with the use of PA-EF TL-HEX TraumaTM (Orthofix, Verona, IT). We conducted a study with the objectives: 1) to assess the rate and time to consolidation in pilon tibial fractures treated with PA-EF, 2) to study the clinical and functional results, 3) to analyze the complications. Hypothesis PA-EF allows a good rate of consolidation in pilon tibial fractures with a low complication rate. Material and methods. A retrospective monocentric study was carried out between 06/2016 and 12/2018. Patients operated by PA-EF for pilon tibial fracture were included, with a minimum follow-up of 12 months. Forty-seven patients were included, with an average follow-up of 2.45 years (1.2-3.7). The main outcome measure was the rate and time to consolidation at the last follow-up. The secondary endpoints were the assessment of joint mobility, residual pain (VAS), functional scores (AOFAS and SF12) and the complication rate. Results. The consolidation rate was 70.21% (33/47) with an average delay of 201 days ± 79 (89-369). Joint mobility was significantly reduced compared to the contralateral side. Twenty patients retained residual pain with an average VAS of 2.9 (1-6). The AOFAS score averaged 74 points (51-95). Twenty patients (42.55%) experienced ≥ 1 complication. Discussion. PA-EF avoids skin complications but remains associated, in our series, with a lower rate of consolidation and a longer delay than the studies described in the literature. This difference is probably related to a higher rate of open fractures and high-energy accidents, different management of recovery of support and a different external fixator from the other series. This is the first series to report the results of the PA-EF TL-HEX Trauma.
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Submitted on : Tuesday, September 22, 2020 - 11:57:48 AM
Last modification on : Friday, October 9, 2020 - 3:09:47 AM
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  • HAL Id : dumas-02945430, version 1



Yohan Legallois. Évaluation du fixateur externe péri-articulaire type TL-HEX Trauma dans les fractures du pilon tibial : série rétrospective de 47 cas. Sciences du Vivant [q-bio]. 2020. ⟨dumas-02945430⟩



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