Classification of pilon fractures by computed tomography and its guide to clinical treatment.
- Author:
Bin JIA
1
;
Yong ZHANG
;
Zheng-lin LI
;
Guo-qing CAO
;
Yan-xun LIU
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Female; Humans; Male; Middle Aged; Tibial Fractures; classification; diagnostic imaging; surgery; Tomography, X-Ray Computed
- From: China Journal of Orthopaedics and Traumatology 2011;24(6):470-473
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo introduce a method of three-column classifications for Pilon fractures and observe clinical utility on column fixation.
METHODSFrom June 2007 to March 2010,a total of 27 patients (29 ankles, 26 males and 1 female,ranging in age from 23 to 59 years, with an average of 33.1 years) with Pilon fractures were treated through column fixation by using semitubular plates or screws with anteromedial, anterior, posterolateral,posteromedial approach. And postoperative follow up were carried out.
RESULTSThe mean follow up was 17.5 months(ranged,5 to 33 months). According to the Mazur ankle grading system, the outcome was excellent in 20, good in 4 and fair in 5 ankles. Patients in this group did not have complications of wound dehiscence, deep infection, osteomyelitis, nonunion, ankylosis, and joint instability.
CONCLUSIONBased on the three-column classification, the clinical results for the treatment of Pilon fractures demonstrate the rationality and efficiency of this method.
