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A strategy for the one-stage treatment of open Pilon fractures based on an accelerated rehabilitation surgical concept.

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Title: A strategy for the one-stage treatment of open Pilon fractures based on an accelerated rehabilitation surgical concept.
Alternate Title: Una estrategia para el tratamiento en una sola etapa de las fracturas de pilón abiertas basada en un concepto quirúrgico de rehabilitación acelerada.
Authors: Wang, Jianchuan1 (AUTHOR), Wan, Zongpu1 (AUTHOR), Ma, Xiaowei1 (AUTHOR) 2573131767@qq.com
Source: Cirugía y Cirujanos. sep/oct2025, Vol. 93 Issue 5, p474-482. 9p.
Subjects: REHABILITATION, FRACTURE healing, SURGERY, ACUTE medical care, OPERATIVE surgery, ANKLE physiology, SOFT tissue injuries, TREATMENT of fractures
Abstract (English): Objective: The objective of the study was to study the strategy of one-stage emergency treatment of open Pilon fracture with the concept of accelerated rehabilitation surgery. Methods: The data of 18 patients with open Pilon fracture treated by first-stage emergency debridement, fracture internal fixation, bone grafting, negative pressure closed drainage covering the wound, leg incision reduction, and second-stage skin grafting or flap transfer in the Department of Orthopedics of our hospital from January 2014 to December 2018 were retrospectively analyzed. Joint surface reduction was evaluated by radiological evaluation criteria such as Burwell-Charnley, fracture healing quality was evaluated by Merchant score, and ankle joint function was evaluated by Tornetta and other criteria at the last follow-up. Results: All 18 patients were followed up, and the anatomical reduction rate was 94% (17/18) according to radiological evaluation criteria such as Burwell-Charnley. According to Merchant scoring criteria, the fracture healing rate was 83.3% (15/18). At the last follow-up, the ankle function was evaluated according to Tornetta and other criteria, and the excellent rate was 88.9% (16/18). Conclusions: Using the concept of accelerated rehabilitation surgery to treat open Pilon fractures in the first emergency can effectively avoid soft-tissue complications and is an effective treatment strategy. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo: Estudiar la estrategia de tratamiento de emergencia en una sola etapa de la fractura abierta de pilón con el concepto de cirugía de rehabilitación acelerada. Métodos: Se analizaron retrospectivamente los datos de 18 pacientes con fractura abierta de pilón tratados en primera etapa con desbridamiento de emergencia, fijación interna de fractura, injerto óseo, drenaje cerrado a presión negativa cubriendo la herida, reducción de la incisión de la pierna y transferencia de injerto de piel en una segunda etapa o colgajo, en el servicio de ortopedia de nuestro hospital, de enero de 2014 a diciembre de 2018. La reducción de la superficie articular se evaluó por criterios de evaluación radiológica como Burwell-Charnley, la calidad de la cicatriz de la fractura se evaluó por la puntuación de Merchant y la función articular del tobillo se evaluó según Tornetta y otros criterios en el último seguimiento. Resultados: Se realizó seguimiento a los 18 pacientes, con una tasa de reducción anatómica del 94% (17/18) según los criterios de evaluación radiológica Burwell-Charnley. Según los criterios de Merchant, la tasa de curación de la fractura fue del 83.3% (15/18). En el último seguimiento, la función del tobillo fue evaluada de acuerdo con Tornetta y otros criterios, y fue excelente en el 88.9% (16/18). Conclusiones: El uso del concepto de cirugía de rehabilitación acelerada para tratar fracturas abiertas de pilón en la primera emergencia puede evitar eficazmente las complicaciones de los tejidos blandos y es una estrategia de tratamiento eficaz. [ABSTRACT FROM AUTHOR]
Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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Header DbId: lth
DbLabel: MedicLatina
An: 188910104
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PubType: Academic Journal
PubTypeId: academicJournal
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IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: A strategy for the one-stage treatment of open Pilon fractures based on an accelerated rehabilitation surgical concept.
– Name: TitleAlt
  Label: Alternate Title
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  Data: Una estrategia para el tratamiento en una sola etapa de las fracturas de pilón abiertas basada en un concepto quirúrgico de rehabilitación acelerada.
– Name: Author
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  Data: <searchLink fieldCode="AR" term="%22Wang%2C+Jianchuan%22">Wang, Jianchuan</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wan%2C+Zongpu%22">Wan, Zongpu</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ma%2C+Xiaowei%22">Ma, Xiaowei</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> 2573131767@qq.com</i>
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  Data: <searchLink fieldCode="JN" term="%22Cirugía+y+Cirujanos%22">Cirugía y Cirujanos</searchLink>. sep/oct2025, Vol. 93 Issue 5, p474-482. 9p.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22REHABILITATION%22">REHABILITATION</searchLink><br /><searchLink fieldCode="DE" term="%22FRACTURE+healing%22">FRACTURE healing</searchLink><br /><searchLink fieldCode="DE" term="%22SURGERY%22">SURGERY</searchLink><br /><searchLink fieldCode="DE" term="%22ACUTE+medical+care%22">ACUTE medical care</searchLink><br /><searchLink fieldCode="DE" term="%22OPERATIVE+surgery%22">OPERATIVE surgery</searchLink><br /><searchLink fieldCode="DE" term="%22ANKLE+physiology%22">ANKLE physiology</searchLink><br /><searchLink fieldCode="DE" term="%22SOFT+tissue+injuries%22">SOFT tissue injuries</searchLink><br /><searchLink fieldCode="DE" term="%22TREATMENT+of+fractures%22">TREATMENT of fractures</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Objective: The objective of the study was to study the strategy of one-stage emergency treatment of open Pilon fracture with the concept of accelerated rehabilitation surgery. Methods: The data of 18 patients with open Pilon fracture treated by first-stage emergency debridement, fracture internal fixation, bone grafting, negative pressure closed drainage covering the wound, leg incision reduction, and second-stage skin grafting or flap transfer in the Department of Orthopedics of our hospital from January 2014 to December 2018 were retrospectively analyzed. Joint surface reduction was evaluated by radiological evaluation criteria such as Burwell-Charnley, fracture healing quality was evaluated by Merchant score, and ankle joint function was evaluated by Tornetta and other criteria at the last follow-up. Results: All 18 patients were followed up, and the anatomical reduction rate was 94% (17/18) according to radiological evaluation criteria such as Burwell-Charnley. According to Merchant scoring criteria, the fracture healing rate was 83.3% (15/18). At the last follow-up, the ankle function was evaluated according to Tornetta and other criteria, and the excellent rate was 88.9% (16/18). Conclusions: Using the concept of accelerated rehabilitation surgery to treat open Pilon fractures in the first emergency can effectively avoid soft-tissue complications and is an effective treatment strategy. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Objetivo: Estudiar la estrategia de tratamiento de emergencia en una sola etapa de la fractura abierta de pilón con el concepto de cirugía de rehabilitación acelerada. Métodos: Se analizaron retrospectivamente los datos de 18 pacientes con fractura abierta de pilón tratados en primera etapa con desbridamiento de emergencia, fijación interna de fractura, injerto óseo, drenaje cerrado a presión negativa cubriendo la herida, reducción de la incisión de la pierna y transferencia de injerto de piel en una segunda etapa o colgajo, en el servicio de ortopedia de nuestro hospital, de enero de 2014 a diciembre de 2018. La reducción de la superficie articular se evaluó por criterios de evaluación radiológica como Burwell-Charnley, la calidad de la cicatriz de la fractura se evaluó por la puntuación de Merchant y la función articular del tobillo se evaluó según Tornetta y otros criterios en el último seguimiento. Resultados: Se realizó seguimiento a los 18 pacientes, con una tasa de reducción anatómica del 94% (17/18) según los criterios de evaluación radiológica Burwell-Charnley. Según los criterios de Merchant, la tasa de curación de la fractura fue del 83.3% (15/18). En el último seguimiento, la función del tobillo fue evaluada de acuerdo con Tornetta y otros criterios, y fue excelente en el 88.9% (16/18). Conclusiones: El uso del concepto de cirugía de rehabilitación acelerada para tratar fracturas abiertas de pilón en la primera emergencia puede evitar eficazmente las complicaciones de los tejidos blandos y es una estrategia de tratamiento eficaz. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.24875/CIRU.24000013
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 474
    Subjects:
      – SubjectFull: REHABILITATION
        Type: general
      – SubjectFull: FRACTURE healing
        Type: general
      – SubjectFull: SURGERY
        Type: general
      – SubjectFull: ACUTE medical care
        Type: general
      – SubjectFull: OPERATIVE surgery
        Type: general
      – SubjectFull: ANKLE physiology
        Type: general
      – SubjectFull: SOFT tissue injuries
        Type: general
      – SubjectFull: TREATMENT of fractures
        Type: general
    Titles:
      – TitleFull: A strategy for the one-stage treatment of open Pilon fractures based on an accelerated rehabilitation surgical concept.
        Type: main
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            NameFull: Wang, Jianchuan
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            NameFull: Wan, Zongpu
      – PersonEntity:
          Name:
            NameFull: Ma, Xiaowei
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            – D: 01
              M: 09
              Text: sep/oct2025
              Type: published
              Y: 2025
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              Value: 93
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            – TitleFull: Cirugía y Cirujanos
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