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CME OnDemand: 2022 AOFAS Annual Meeting
Is It Safe to Prep the External Fixator in Situ Du ...
Is It Safe to Prep the External Fixator in Situ During Staged ORIF of Pilon Fractures? A Retrospective Comparative Cohort Study Audio Poster
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Video Transcription
Video Summary
The video transcript summarizes a retrospective comparative cohort study on the safety of prepping the external fixator in situ during staged open reduction and internal fixation of distal tibial pilon fractures. Pilon fractures are challenging for orthopedic surgeons, often resulting in unsatisfactory outcomes, including infection. Previous studies found that initial stabilization with external fixation before open reduction led to decreased complications. However, infection remains a challenge. The study aimed to compare infection and unplanned reoperation rates between patients whose external fixators were prepped into the surgical field and those whose fixators were removed. The study found that prepping the fixator did not significantly increase infection or unplanned reoperation rates. The authors believe this study supports the common practice in treating pilon fractures.
Asset Subtitle
Teja Yeramosu, Amanda Hayes, Porter Young, David Cinats, Stephen Kates, Tejas J. Patel, MD, Paul W. Perdue
Keywords
retrospective comparative cohort study
external fixator
distal tibial pilon fractures
infection rates
unplanned reoperation rates
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