{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T10:22:59Z","timestamp":1772706179295,"version":"3.50.1"},"reference-count":28,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"8","license":[{"start":{"date-parts":[[2010,8,1]],"date-time":"2010-08-01T00:00:00Z","timestamp":1280620800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2010,8]]},"abstract":"<jats:p> Open reduction and internal fixation of high-energy pilon fractures are often associated with serious complications. Various methods have been used to treat these injuries, with variable results. A total of 17 consecutive patients with pilon fractures of AO\/OTA type 43-B3 (n = 1), type C2 (n = 12) and type C3 (n = 4) were treated by indirect reduction by capsuloligamentotaxis and stabilisation using an ankle-spanning Ilizarov fixator. The calcaneal ring was removed at a mean of 3.7 weeks (3 to 6). A total of 16 patients were available for follow-up at a mean of 29 months (23 to 43). The mean time to healing was 15.8 weeks (13 to 23). Nine patients had pin-track infections but none had deep infection or osteomyelitis. Four patients (25%) had malunion. Fair, good or excellent ankle scores were found in 14 patients. External fixation with a ring fixator achieves stable reduction of the fractured fragments without additional trauma to soft tissues. <\/jats:p><jats:p> With minimum complications and good healing results, the Ilizarov apparatus is particularly useful for high-energy pilon fractures. <\/jats:p>","DOI":"10.1302\/0301-620x.92b8.23602","type":"journal-article","created":{"date-parts":[[2010,7,31]],"date-time":"2010-07-31T23:17:50Z","timestamp":1280618270000},"page":"1100-1106","source":"Crossref","is-referenced-by-count":36,"title":["Capsuloligamentotaxis and definitive fixation by an ankle-spanning Ilizarov fixator in high-energy pilon fractures"],"prefix":"10.1302","volume":"92-B","author":[{"given":"S. K.","family":"Kapoor","sequence":"first","affiliation":[{"name":"Lady Hardinge Medical College"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Kataria","sequence":"additional","affiliation":[{"name":"Lady Hardinge Medical College"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. R.","family":"Patra","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. Ram Manohar Lohia, Hospital & PGIMER, Baba, Kharak Sing Marg, Connaught Place, New Delhi - 011 23365525, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Boruah","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. Ram Manohar Lohia, Hospital & PGIMER, Baba, Kharak Sing Marg, Connaught Place, New Delhi - 011 23365525, India."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(03)00082-8"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Helfet DL, Koval K, Pappas J, Sanders RW, DiPasquale T. Intraarticular \u201cpilon\u201d fracture of tibia. Clin Orthop 1994;298:221\u20138.","DOI":"10.1097\/00003086-199401000-00029"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199608000-00028"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Ovadia DN, Beals RK. Fractures of the tibial plafond. J Bone Joint Surg [Am] 1986;68-A:543\u201351.","DOI":"10.2106\/00004623-198668040-00010"},{"key":"R5","unstructured":"Sommer C, Ruedi TP. Tibia: distal (pilon). In: Reudi TP, Murphy WM, eds. AO principles of fracture management. Vol 2. New York;Thieme 2000:539\u201356."},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(69)80066-5"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199604000-00028"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199307000-00013"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2007.07.024"},{"key":"R10","unstructured":"Wood GW II. General principles of fracture treatment. In: Canale ST ed. Campbell\u2019s operative orthopaedics. Vol 3 tenth ed. Philadelphia, Mosley; 2003:2671."},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Wyrsch B, McFerran MA, McAndrew M, et al. Operative treatment of fractures of the tibial plafond: a randomized, prospective study. J Bone Joint Surg [Am] 1996;78-A:1646\u201357.","DOI":"10.2106\/00004623-199611000-00003"},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(05)70196-6"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Bourne RB. Pylon fractures of the distal tibia. Clin Orthop 1989;240:42\u20136.","DOI":"10.1097\/00003086-198903000-00006"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Brumback RJ, McGarvey WC. Fractures of the tibial plafond: evolving treatment concepts for the pilon fracture. Orthop Clin North Am 1995;26:273\u201385.","DOI":"10.1016\/S0030-5898(20)31993-3"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200006000-00010"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Marsh JL, Bonar S, Nepola JV, Decoster TA, Hurwitz SR. Use of an articulated external fixator for fractures of the tibial plafond. J Bone Joint Surg [Am] 1995;77-A:1498\u2013509.","DOI":"10.2106\/00004623-199510000-00004"},{"key":"R17","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e318176b8d9"},{"key":"R18","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2006.06.002"},{"key":"R19","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200006000-00009"},{"key":"R20","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199307000-00012"},{"key":"R21","doi-asserted-by":"crossref","unstructured":"Laughlin RT, Calhoun JH. Ring fixators for reconstruction of traumatic disorders of the foot and ankle. Orthop Clin North Am 1995;26:287\u201394.","DOI":"10.1016\/S0030-5898(20)31994-5"},{"key":"R22","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(05)70204-2"},{"key":"R23","unstructured":"Whittle AP, Wood GW II. Fractures of lower extremity. In: Canale ST, ed. Campbell\u2019s operative orthopaedics. Vol 3 tenth ed. Philadelphia: Mosley, 2003, 2748."},{"key":"R24","doi-asserted-by":"crossref","unstructured":"Kim HS, Jahng JS, Kim SS, Chun CH, Han HJ. Treatment of tibial pilon fractures using ring fixators and arthroscopy. Clin Orthop 1997;334:244\u201350.","DOI":"10.1097\/00003086-199701000-00031"},{"key":"R25","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2005.05.005"},{"key":"R26","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2007.09.003"},{"key":"R27","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(03)00172-4"},{"key":"R28","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.86B6.15077"}],"container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.92B8.23602","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.92B8.23602","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.92B8.23602","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T17:59:03Z","timestamp":1629136743000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.92B8.23602"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,8]]},"references-count":28,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2010,8]]}},"alternative-id":["10.1302\/0301-620X.92B8.23602"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.92b8.23602","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,8]]}}}