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Advantages of the Ilizarov external fixation in the management of intra-articular fractures of the distal tibia
Journal of Orthopaedic Surgery and Research, 09/16/09
Vasiliadis ES et al. – Intra–articular fractures of the distal tibia due to axial compression are usually complicated with cartilaginous problems and are requiring anatomical reduction of the articular surface. Fractures due to torsional forces are complicated with ankle instability and reduction should be augmented with ligament repair, in order to restore normal movement of talus against the mortise. Both Ilizarov and hinged external fixators are unable to restore ligamentous stability. External fixation is recommended only for fractures of the ankle joint caused by axial compression because it is biomechanically superior and has a lower complication rate.
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