Surgical treatment of tibia Pilon fracture
- VernacularTitle:胫骨Pilon骨折的手术治疗
- Author:
Bo ZHANG
;
Lei HUANG
;
Manyi WANG
- Publication Type:Journal Article
- Keywords:
Tibial fracture;
Surgery,operative;
Fracture fixation,internal
- From:
Chinese Journal of Orthopaedics
1999;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the choice of operative method, timing of surgery and the outcome of tibia Pilon fracture. Methods Thirty one patients with unilateral tibia Pilon fracture operatively treated between 1993 and 1998 were followed up. The average age was 39.4 years(range from 15 to 64 years). The average period between injury and surgery was 7.2 days. According to the R?edi Allgwer classification, there were 3 cases of type Ⅰfracture, 14 cases type Ⅱfracture and 14 cases type Ⅲfracture. During operation, 13 patients had the fractures reduced and internal fixation was done with the cloverleaf plate, 15 patients had limited open reduction and internal fixation coupled with external fixation, which included 5 patients with the external fixation apparatus and 10 patients with plaster splint, in the remaining 3 cases, the fibular fractures were fixed with plate and tibia fractures were immobilizated with external fixation apparatus. The average period of follow up of these 31 patients was 30.2 months. Results According to Mazurs criterion, the result of the treatment was evaluated as excellent in 25 patients, good in 5 patients and fair in 1 patient. No poor result was found. Complications included wound dehiscence in 3 cases, infection in 2 cases, delayed union of fracture 1 cases and late degenerative changes of the ankle joint in 8 cases. Conclusion In order to get a satisfactory result it is important to have the right choice and timing of surgery and correct method of fixation in tibia Pilon fractures.
