Preprint / Version 1

“Preliminary evaluation of a prospective randomized case series comparing plate and screws versus Ilizarov circular external fixator for distal tibial fractures”

##article.authors##

  • Victor Elzio Gasperoni Matias Santa Casa de São Paulo
  • Gustavo Venancio de Brito Irmandade da Santa Casa de Misericórdia de São Paulo https://orcid.org/0009-0000-8349-3119
  • Aurélio Lazzaroni Spósito Irmandade da Santa Casa de Misericórdia de São Paulo
  • Caio Zamboni Irmandade da Santa Casa de Misericórdia de São Paulo
  • Marcelo Mercadante Irmandade da Santa Casa de Misericórdia de São Paulo
  • Ralph Walter Christian Irmandade da Santa Casa de Misericórdia de São Paulo

DOI:

https://doi.org/10.1590/SciELOPreprints.6785

Keywords:

Fractures, Tibial, External fixators, Ilizarov Technique, Fracture Fixation, internal

Abstract

OBJECTIVE: to compare two surgical approaches for fractures of the tibial pilon: open reduction and internal fixation with plate and screws versus closed reduction and external fixation with the Ilizarov circular external fixator, constituting a study with a level of evidence level 4 and seeking to determine which patients benefit most from each surgical approach. METHODS: The research involved 19 patients with fractures of the tibial pilon, divided into two groups according to their respective medical records and evaluated considering the quality of joint reduction, acute complications in relation to these two methods and associated injuries and comorbidities due to a minimum outpatient follow-up of four months. RESULTS: there was no difference in terms of reduction quality, whereas in terms of acute complications and the need for surgical re-approaches, the group of patients undergoing open reduction and internal fixation with plate and screws showed worse results. CONCLUSION: the choice between the methods must be individualized, considering the specific injuries and comorbidities of each patient.

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Posted

09/13/2023

How to Cite

Matias, V. E. G., Brito, G. V. de, Spósito, A. L., Zamboni, C., Mercadante, M., & Christian, R. W. (2023). “Preliminary evaluation of a prospective randomized case series comparing plate and screws versus Ilizarov circular external fixator for distal tibial fractures”. In SciELO Preprints. https://doi.org/10.1590/SciELOPreprints.6785

Section

Health Sciences

Plaudit

Data statement

  • The research data is contained in the manuscript