Does Anterior Impaction Affect Radiographic Outcomes of Pilon Fractures?

Background: The outcomes of pilon fractures are multifactorial. Anterior articular impaction requires sagittal plane correction (anterior distal tibia angle (ADTA)) with articular reduction. However, there is a risk of avascular necrosis of the articular fragments and postoperative tibiotalar arthritis.

Does surgical approach affect sagittal plane alignment and pilon fracture outcomes?

Purpose: Sagittal plane alignment beyond articular reduction and its effect on clinical outcomes has not been emphasized. Surgical approach may influence a surgeon's ability to correct the sagittal plane alignment. The purpose of our study was to evaluate how surgical approach impacts anterior distal tibial angle (ADTA) and lateral talar station (LTS).

What are the Risk Factors for Deep Infection in OTA/AO 43C Pilon Fractures?

Objectives: To determine the risk factors for deep infection in OTA/AO 43C pilon fractures.

Design: Retrospective, case-control study.

Setting: Single institution, Level 1 trauma center.

Extent and Morbidity of Lateralization of a Trochanteric Fixation Nail Blade.

This study examined the incidence and risk factors associated with lateral helical blade migration and trochanteric pain with the trochanteric fixation nail. A retrospective review was performed of 141 cases of pertrochanteric femur fracture treated with a trochanteric fixation nail at a level I trauma center over a period of 42 months. Exclusion criteria included follow-up of less than 60 days, preexisting osteonecrosis of the femoral head, and prophylactic trochanteric fixation nail treatment.