Abstract

Correlation between Allopurinol and Epinephrine in the prevention of post Endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis

Highlights

  • Distal tibial fractures remain one of the most substantial therapeutic challenges that confront the trauma surgeon

  • Tibial plafond fractures accont for less than 10% of all lower extremity fractures and more common in male than female patients

  • Post operative protocol: - Active and passive range-of-motion exercises were begun from day 1 after surgery. - Partial toe touch weight bearing was permitted at 2-4 weeks according to patient tolerance. - Full weight bearing was allowed at 6 weeks. - The assessment of articular fragments reduction was made according to criteria described by Ovadia and beals[6]. - Clinical outcomes were evaluated according to the ankle-hindfoot score devised by the American Orthopaedic Foot and Ankle Society (AOFAS) [7]

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Summary

Introduction

Distal tibial fractures remain one of the most substantial therapeutic challenges that confront the trauma surgeon. Numerous features are responsible for this, but perhaps none are as difficult as the accompanying soft tissue injury that is frequently present [1]. Tibial plafond fractures accont for less than 10% of all lower extremity fractures and more common in male than female patients. Pilon fractures in particular constitute only approximately 1% of lower extremity fractures and 7% to 10% of tibial fractures. The frequency of these fractures maybe increasing [2]. A whole spectrum of treatment options have been advanced over years. Most authors would agree the goal of treatment of any displaced intra-articular fracture should be: a. B. An anatomic restoration of the joint to the shaft, and early restoration of motion, and functional recovery

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