Similarity of ORIF and limited internal fixation for closed tibial plafond fractures .
Comparison of two-staged ORIF and limited internal fixation with external fixator for closed tibial plafond fractures
Arch Orthop Trauma Surg. 2010 Oct;130(10):1289-9756 patients with closed type B3 or C Pilon fractures were randomized to undergo surgery with either two-staged open reduction-internal fixation (ORIF) or limited internal fixation with external fixator (LIFEF). Patients were assessed for fracture union, healing complications, infection, and ankle joint function. The two groups were not significantly different in the outcome measures other than superficial soft tissue infection, which was significantly higher with LIFEF. Radiation exposure was also significantly greater in the LIFEF group.
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