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Combined use of Ilizarov external fixation and Papineau technique for septic pseudoarthrosis of the distal tibia in a patient with diabetes mellitus.

Koutsostathis SD, Lepetsos P, Polyzois VD, Pneumaticos SG, Macheras GA - Diabet Foot Ankle (2014)

Bottom Line: The surgical treatment of open pilon fractures has a high complication rate especially in diabetic patients.In this article, we present a case of an infected tibial non-union after an open reduction and internal fixation in a diabetic patient, treated with Ilizarov external fixation combined with Papineau technique.Combined use of external fixation and Papineau technique can provide an alternative option for the treatment of septic pseudoarthrosis of the distal tibia.

View Article: PubMed Central - PubMed

Affiliation: 4th Department of Trauma & Orthopaedics, KAT Hospital, Athens, Greece.

ABSTRACT
The surgical treatment of open pilon fractures has a high complication rate especially in diabetic patients. In this article, we present a case of an infected tibial non-union after an open reduction and internal fixation in a diabetic patient, treated with Ilizarov external fixation combined with Papineau technique. Combined use of external fixation and Papineau technique can provide an alternative option for the treatment of septic pseudoarthrosis of the distal tibia.

No MeSH data available.


Related in: MedlinePlus

Initial lower extremity radiographs showing the distal tibial and fibular fractures.
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Figure 0001: Initial lower extremity radiographs showing the distal tibial and fibular fractures.

Mentions: A 63-year-old male presented to the emergency department of our institution in January of 2011 with an open pilon fracture of his left tibia along with a fracture of the distal fibula (Fig. 1). His medical history was significant for diabetes mellitus being treated with insulin therapy. The patient's fracture was immediately treated in the operating room with an open reduction and internal fixation with plates and screws. Postoperatively (Figs. 2 and 3), the patient received intravenous antibiotic therapy with ceftriaxone, amikacin, and metronidazole for 3 days and the patient was discharged from the hospital 1 week after the initial operation.


Combined use of Ilizarov external fixation and Papineau technique for septic pseudoarthrosis of the distal tibia in a patient with diabetes mellitus.

Koutsostathis SD, Lepetsos P, Polyzois VD, Pneumaticos SG, Macheras GA - Diabet Foot Ankle (2014)

Initial lower extremity radiographs showing the distal tibial and fibular fractures.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3926991&req=5

Figure 0001: Initial lower extremity radiographs showing the distal tibial and fibular fractures.
Mentions: A 63-year-old male presented to the emergency department of our institution in January of 2011 with an open pilon fracture of his left tibia along with a fracture of the distal fibula (Fig. 1). His medical history was significant for diabetes mellitus being treated with insulin therapy. The patient's fracture was immediately treated in the operating room with an open reduction and internal fixation with plates and screws. Postoperatively (Figs. 2 and 3), the patient received intravenous antibiotic therapy with ceftriaxone, amikacin, and metronidazole for 3 days and the patient was discharged from the hospital 1 week after the initial operation.

Bottom Line: The surgical treatment of open pilon fractures has a high complication rate especially in diabetic patients.In this article, we present a case of an infected tibial non-union after an open reduction and internal fixation in a diabetic patient, treated with Ilizarov external fixation combined with Papineau technique.Combined use of external fixation and Papineau technique can provide an alternative option for the treatment of septic pseudoarthrosis of the distal tibia.

View Article: PubMed Central - PubMed

Affiliation: 4th Department of Trauma & Orthopaedics, KAT Hospital, Athens, Greece.

ABSTRACT
The surgical treatment of open pilon fractures has a high complication rate especially in diabetic patients. In this article, we present a case of an infected tibial non-union after an open reduction and internal fixation in a diabetic patient, treated with Ilizarov external fixation combined with Papineau technique. Combined use of external fixation and Papineau technique can provide an alternative option for the treatment of septic pseudoarthrosis of the distal tibia.

No MeSH data available.


Related in: MedlinePlus