Short-term efficacy of double operative approaches for severe Pilon fractures

VernacularTitle:双入路手术方法治疗严重Pilon骨折的近期疗效
Author: Chunlei YANG ; Jianhua WU ; Hongjun LI ; Xiaochun WU ; Xiaoming CAO ; Dengfeng ZU ; Zhengming ZHONG ; Yanghui WU ; Jie WANG
Publication Type:Journal Article
Keywords: Ankle injuries; Fracture fixation,internal; Pilon fractures
From: Chinese Journal of Trauma 2012;28(9):805-808
CountryChina
Language:Chinese
Abstract: Objective To investigate surgical exposure,reduction and fixation of the severe Pilon fractures. Methods A total of 11 patients with severe Pilon fractures (Rüedi-Allgwer type Ⅲ or AO/OT type C3 ) were managed by anteriormedial malleolar approach in combination with transfibular fracture or fibular osteotomy approach to reveal the tibiotalar joint.Reduction was performed under direct vision and then the tibia was fixed followed by fibula fixation. Results All patients obtained satisfactory bone reduction including nine patients with Ⅰ stage wound healing and two with Ⅱ stage wound healing.No sclerotin infection occurred.The fractures as well as the osteotomy sites were healed. Conclusions The double operative approaches can completely expose the tibiotalar joint,favor the reduction and fixation of the displaced bone fragments and attain satisfactory short-term reduction and fixation effects in the treatment of severe Pilon fractures.