Two-stage delayed surgical treatment for type Ⅱ and type Ⅲ Pilon fractures

VernacularTitle:Ⅱ、Ⅲ型Pilon骨折的分步延期手术治疗
Author: Xiucheng XU ; Yongmao ZHENG ; Chong CHAI ; Jibao XIE
Publication Type:Journal Article
Keywords: Tibial fractures; Fracture fixation; Ankle joint
From: Chinese Journal of Primary Medicine and Pharmacy 2016;23(11):1715-1717
CountryChina
Language:Chinese
Abstract: Objective To explore the therapeutic effect of two-stage delayed open reduction and internal fixation on Pilon fractures.Methods The clinical data of 38 patients with type Ⅱ and type Ⅲ Pilon fracture were analyzed retrospectively.According to the Ruedi-Allgower classification,there were 18 cases with type Ⅱand 20 cases with type Ⅲ fracture.All patients underwent temporary fixation with calcaneal traction or external fixation for 7 to 17 days,and then they were treated with delayed surgery when the soft tissue injuries subsided.Results Follow-up was performed for 10 to 18 months.Based on the Mazur classification,the ankle function in 12 cases was excellent,18 cases as good,6 cases as fair and 2 cases as poor,with a satisfactory rate of 78.9％.Conclusion Two-stage delayed open reduction and internal fixation is a reasonable and effective procedure in treating type Ⅱ and type Ⅲ Pilon fractures with advantages of few complications and satisfactory ankle function.