Objectives: To determine whether patients with AO/OTA 43-B anterior impaction tibial plafond fractures have worse clinical outcomes, and an increased risk of progression to ankle arthrodesis.

Design: Retrospective cohort study.

Setting: Level 1 academic trauma center.

Patients: One hundred sixty-eight patients were included in the study, all of whom had tibial plafond fractures.

Intervention: Study patients underwent external fixation and/or open reduction internal fixation (ORIF) as indicated by fracture/injury pattern.

Main Outcome Measurements: Arthrodesis rate.

Results: AO 43-B Anterior impaction tibial plafond fractures have an increased risk of progression to arthrodesis when compared to AO 43-B nonanterior impaction type fractures (19.4% vs 8%).

Conclusions: AO 43-B anterior impaction tibial plafond fractures have a worse clinical outcome compared to AO 43-B nonanterior impaction fractures. These fractures also confer increased risk of progression to arthrodesis.

Conflicts Of Interest: The authors have no conflict of interests to declare.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8022908PMC
http://dx.doi.org/10.1097/OI9.0000000000000076DOI Listing

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