Treatment of pilon fractures of Ruedi -Allgower types II and Ⅲ by raft screws fixation combined with bone grafting
10.3760/cma.j.issn.1008-6706.2016.01.021
- VernacularTitle:排钉内固定结合植骨治疗Ⅱ、Ⅲ型Pilon 骨折的疗效观察
- Author:
Daozhen CHEN
;
Zhijian ZHAO
;
Kunfeng CHEN
;
Tianfeng BAI
;
Junxia ZHANG
- Publication Type:Journal Article
- Keywords:
Tibial fractures;
Raft screws;
Bone graft;
Fracture fixation,internal
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;(1):74-76
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate surgical outcomes of treatment of pilon fractures of Ruedi -Allgower types Ⅱ and Ⅲ by raft screws fixation combined with bone grafting.Methods 21 patients with pilon fractures of Ruedi -Allgower types II and Ⅲ received surgery were selected.They were 15 men and 6 women,23 to 68 years of age(average 38.2 years).16 cases were closed and 5 cases open.12 cases were type II and 9 cases type III.Intervals between injury and operation ranged from 7 to 14 days,with 8.5 days on average.All of them were treated with raft screws fixation by plate type L combined with bone grafting.Results All cases were followed up for an average of 12 months(range from 8 to 30 months).Fractures healed from 16 to 24 weeks,with 18.2 weeks on average.According to the Burwell -Charnley radiological criteria,anatomical reduction was achieved in 17 cases,and fair reduction in 4.According to the Mazur clinical criteria,ankle functions were rated as excellent in 8 cases,good in 10 cases,fair in 2 cases and poor in 1 case.The rate of excellent and good was 85.7%.Conclusion Raft screws fixation combined with bone grafting are effective for the pilon fractures of Ruedi -Allgower types II and Ⅲ,preventing articular surface collapse and leading to anatomic reduction,and has stable fixation and early functional rehabilitation.
