OTA International (Jun 2020)

Impaction fractures of the anterior tibial plafond

  • Moaz B.Y. Chohan, MBBS,
  • Christopher Del Balso, MBBS, MSc, FRCSC,
  • Michael Ching, MD,
  • Emil Schemitsch, MD, FRCSC,
  • Abdel Rahman Lawendy, MD, PhD, FRCSC,
  • David W. Sanders, MD, MSc, FRCSC

DOI
https://doi.org/10.1097/OI9.0000000000000076
Journal volume & issue
Vol. 3, no. 2
p. e76

Abstract

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Abstract. 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. The authors have no conflict of interests to declare.