The anatomic-functional state of the ankle joint after treatment of Pilon fractures

Authors

  • Ivan Trufanov

DOI:

https://doi.org/10.15674/0030-59872012274-79

Keywords:

Pilon fractures, roengenometry, malleolar angle, relapse deformities

Abstract

Pilon fractures are difficult for treatment and unfavourable for prediction. The purpose of the present work was to assess the extent of anatomic-functional disorders in the ankle joint after Pilon fractures, which were treated in different ways. The materials and methods were as follows: remote results were studied in 38 patients; radiometric indices, which characterized the geometrical shape of articular surfaces, were examined. The following result was obtained: the coaxiality of articular surface rings after union of fragments could be affected. Kinds of disturbances in the joint geometry were isolated. Radiological changes in the shape of the ankle joint were examined in correlation with its function. Analysis of the results showed that in conditions of a deformity of the articular surface in the form of steps sized 1-2 mm later there was further remodelling due to regeneration of the cartilage. The function of sliding of the articular surfaces was preserved, but with a smaller range.

References

  1. Остеоартроз: консервативная терапия: Монография / Н. А. Корж, Н. В. Дедух, И. А. Зупанец. — Х.: Золотые страницы, 2007. — 424 с.
  2. Переломы костей голени на уровне дистального эпиметафиза (переломы Pilon´а) и их последствия, диагностика и лечение / Н. А. Корж, К. К. Романенко, Л. Д. Горидова, Д. В. Прозоровский // Травма. — 2011. — Т. 12, № 2. — С. 6–10.
  3. Побел А. Н. Расположение отломков при переломах Pilon и выбор способа их сопоставления и удержания / А. Н. Побел, И. И. Труфанов, В. С. Гацак // Ортопед. травматол. — 2011. — № 3. — С. 111–116.
  4. Труфанов И. И. Комплексное лечение внутрисуставных переломов дистального отдела костей голени / И. И. Труфанов // Актуальні питання медичної науки та практики: Запоріжжя, 2008. — Збірник наукових праць ЗМАПО. — С. 213–217.
  5. An update on the management of high-energy Pilon fractures / I. S. Tarkin, M. P. Clare, A. Marcantonio, H. C. Pape // Injury. — 2008. — Vol. 39, Issue 2. — Р. 142–154.
  6. A retrospective analysis of commuinuted intra-articular fractures of the tibial plafond: Open reduction and internal fixation versus external Ilizarov fixation / S. Bacon, W. R. Smith, S. J. Morgan et al. // Injury. — 2008. — Vol. 39, Issue 2. — P. 196–202.
  7. Проблемы прочности в биомеханике: Учеб. пособие для технич. и биол. спец. вузов / Под ред. И. Ф. Образцова. — М.: Высш. шк., 1988. — 311 с.
  8. Разрушение неметаллов и композитных материалов / Под ред. Ю. Н. Работнова; [пер. с англ. Н. И. Малинина, С. Т. Милейко]. — М.: Мир, 1976. — Ч. II: Органические материалы (стеклообразные полимеры, эластомеры, кость). — 311 с.

Downloads

How to Cite

Trufanov, I. (2012). The anatomic-functional state of the ankle joint after treatment of Pilon fractures. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (2), 74–79. https://doi.org/10.15674/0030-59872012274-79

Issue

No. 2 (2012)

Section

ORIGINAL ARTICLES

License

Copyright (c) 2014 Ivan Trufanov

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

The authors retain the right of authorship of their manuscript and pass the journal the right of the first publication of this article, which automatically become available from the date of publication under the terms of Creative Commons Attribution License, which allows others to freely distribute the published manuscript with mandatory linking to authors of the original research and the first publication of this one in this journal.

Authors have the right to enter into a separate supplemental agreement on the additional non-exclusive distribution of manuscript in the form in which it was published by the journal (i.e. to put work in electronic storage of an institution or publish as a part of the book) while maintaining the reference to the first publication of the manuscript in this journal.

The editorial policy of the journal allows authors and encourages manuscript accommodation online (i.e. in storage of an institution or on the personal websites) as before submission of the manuscript to the editorial office, and during its editorial processing because it contributes to productive scientific discussion and positively affects the efficiency and dynamics of the published manuscript citation (see The Effect of Open Access).