Description
This presentation discusses the complexities and challenges of treating high-energy fractures, particularly focusing on pilon fractures, and introduces a novel approach of primary arthrodesis as a treatment method. Dr. Enis Guryel emphasizes the significant impact these injuries have on patients’ lives, pointing to high complication rates, poor long-term outcomes, and a lengthy, often painful recovery journey that may include multiple surgeries. Through real-life case examples, Guryel illustrates the shortcomings of traditional surgical methods and presents data regarding the effectiveness of arthrodesis in terms of recovery and pain management. He outlines his surgical technique, which involves an arthroscopically prepared joint and a precise approach to nailing the talus, and he showcases promising early results from his cohort of patients. The discussion is framed around the need for personalized care that takes into account patients’ lifestyles and the urgency of returning to their daily activities. The presentation concludes that his innovative technique could potentially lead to better outcomes for patients facing these debilitating injuries.
DOI: 10.1302/3114-221921