الفهرس 
Comparative study between functional and radiological outcomes in pilon fracture with open reduction and internal fixation in patient below 40 years old and patient above 40 years old
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Abstract
Objectives: Compare complications and functional and radiological outcomes following operatively treated pilon fracture between elderly patients ({u2265} 40 years) and younger patients (< 40 years) Patients/ Participants: Of the 36 tibial plafond fractures (OTA/AO 43-B & 43-C) treated from December 2020 to September 2021. Intervention: In case of bad skin condition, 2 staged procedure was done (first stage was temporary spanning external fixation and the second stage was ORIF) but in cases with good skin condition after resolution of edema open reduction and internal fixation was done directly.Results: sixteen patients comprised the elderly group (mean age 47.94 years) and sixteen patients comprised the younger group (mean age 29.22 years)(p< 0.001).beside significantly more tobacco use in the younger group, patient demographics and fracture characteristics indifferent. Infection (elderly 10% vs. young 18%, p=0.4), or malunion (elderly 3% vs. young 5%, p=1.0), nonunion (2.7% only in group B) and arthrosis (2.7% in group A and 5.8%in group B).Conclusion: Age > 40 years is not an independent predictor of surgical treatment failure of pilon fractures as defined by malunion, nonunion or arthrosis. Our results indicates that we should continue to treat elderly patients similar to their younger counterparts using ORIF