Multi-incision with multiple low-profile plates for fixation of Rüedi-Allg(o)wer type Ⅱ and Ⅲ pilon fracture
10.3760/cma.j.issn.1001-8050.2014.07.012
- VernacularTitle:多切口多枚小钢板治疗Rüedi-Allg(o)werⅡ～Ⅲ型pilon骨折
- Author:
Sanyuan TANG
;
Hui YANG
;
Yuanhui LI
;
Hongtao SUN
;
Peng ZHAN
;
Tianhua TANG
- Publication Type:Journal Article
- Keywords:
Tibial fractures;
Fracture fixation,internal;
Incision
- From:
Chinese Journal of Trauma
2014;30(7):684-687
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the outcome of fixation of Rüedi-Allg(o)wer type Ⅱ and Ⅲ pilon fracture using multiple low-profile plates (MLPP) via multiple incisions.Methods A retrospective study was made on 21 cases of pilon fracture immobilized using MLPP via multiple incisions between July 2007 and March 2012.There were 7 cases of Rüedi-Allgower type Ⅱ and 14 type Ⅲ.Fractures were reduced and fixed based on X-ray films and CT scans for fracture line and effect area.Quality of reduction was evaluated by Burwell-Charnley radiological score.Ankle and hindfoot functions were evaluated by American Orthopedic Foot & Ankle Society ankle-hindfoot scale.Fracture types,healing rate,and wound complication incidence were recorded.Results All fractures were healed,with the excellence rate of 95％ (20/21).According to AOFAS score,the results were rated as excellent in 11 cases,good in 6,fair in 4,with the excellence rate of 81％.None suffered from wound infection,except for wound dehiscence in 1 case and traumatic arthritis in 5.Conclusion Treatment of pilon fractures by MLPP via multiple incisions can reduce wound complications,promote reduction and stabilization of fracture,and satisfy the demand of early movement and late weight bearing of the ankle.
