FRACTURAS DE PILÓN TIBIAL: ANÁLISIS DE LAS LESIONES DE PARTES BLANDAS Y SUS COMPLICACIONES EN EL HOSPITAL REGIONAL N° 2 TEODORO MALDONADO CARBO PERIODO 2015-2017

Abstract

Background: The fractures of the tibial pilon are a great challenge due to the great difficulty of their treatment. The involvement of the soft tissues, the pattern of each fracture and the experience of the surgeon are the parameters to decide the most appropriate for each type of fracture. Objective: The aim of this study is to analyze soft tissue injuries associated with tibial pilon fractures and their complications at the IESS Teodoro Maldonado Carbo Regional Hospital. Methodology: The present work was of analytical, retrospective crosssectional type, which includes 73 patients with tibial pilon fracture in the IESS Teodoro Maldonado Carbo Hospital from January 1, 2015 to December 31, 2017. Results: The most frequent soft tissue injury was the rupture of the posterolateral capsule with the rupture of the Deltoid ligament. 42.5% (31) of the patients in the study developed complications, the main ones being wound infection and suture dehiscence. High-energy trauma was the most common associated factor. Conclusion: All soft tissue injuries influence the prognosis of ankle function because they are structures that intervene in the mobility of the ankle.