Cursaru Adrian, Popa Mihnea, Lupu Alexandru, Iordache Sergiu, Costache Mihai, Cretu Bogdan, Serban Bogdan, Cirstoiu Catalin
Orthopedics and Traumatology, Carol Davila University of Medicine and Pharmacy, Bucharest, ROU.
Orthopedics and Traumatology, University Emergency Hospital, Bucharest, ROU.
Cureus. 2023 Sep 18;15(9):e45507. doi: 10.7759/cureus.45507. eCollection 2023 Sep.
This study offers a thorough analysis of tibial pilon fractures, accounting for patient compliance, diverse treatment options, and soft tissue implications. The article discusses varied treatment pathways, ranging from single-stage interventions to two-stage methods for open fractures by presenting seven clinical cases. The emphasis is on the intricate interplay of trauma intensity, bone damage, and adjacent soft tissue in dictating treatment plans and patient outcomes. The challenges posed by non-compliant patients rejecting advised treatments are underscored, illuminating the inherent risks. Drawing from varied patient demographics, comorbidities, and fracture types, a comprehensive guide for clinicians emerges. The findings underscore the importance of a tailored, patient-centric approach, considering the multifaceted nature of ankle fractures, local soft tissue health, patient's overall well-being, and their adherence to the proposed treatment regimen.
本研究对胫骨平台骨折进行了全面分析,涵盖了患者依从性、多种治疗选择以及软组织影响。文章通过呈现七个临床病例,讨论了从单阶段干预到开放性骨折的两阶段治疗方法等不同的治疗途径。重点在于创伤强度、骨损伤和相邻软组织在决定治疗方案和患者预后方面的复杂相互作用。强调了不依从患者拒绝建议治疗所带来的挑战,揭示了内在风险。基于不同的患者人口统计学、合并症和骨折类型,为临床医生提供了一份全面指南。研究结果强调了采取量身定制、以患者为中心方法的重要性,要考虑到踝关节骨折的多面性、局部软组织健康、患者的整体健康状况以及他们对建议治疗方案的依从性。