A Clinical Study of the tibial Pilon Fractures
10.4055/jkoa.1990.25.3.668
- Author:
Jun Mo LEE
;
Myung Sik PARK
;
Byung Yun HWANG
;
Jin Doo KIM
- Publication Type:Original Article
- Keywords:
Tibial pilon fractures
- MeSH:
Ankle Joint;
Bone Transplantation;
Classification;
Clinical Study;
Jeollabuk-do;
Orthopedics;
Tibia;
Weight-Bearing
- From:The Journal of the Korean Orthopaedic Association
1990;25(3):668-675
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Fractures of the tibial pilon are the severe injuries to the ankle joint resulted from axial compression, shear and/or rotational forces. The mangement has been notoriously difficult due to the comminution of the distal tibia, articular incongruity and soft tissue trauma. The advocated treatment sequence of fibular reconstruction, restoration of the articular suface, bone grafting of defects and the use of an anterior or medial neutralization plate, early movement and delayed weight bearing, were performed recently and the best results have been obtained. The results of treatment of 18 cases were analysed at the Department of Orthopedic Surgery, Chonbuk National University Hospital and Chong ju Lee Rha Hospital from Mar. 1982 to Aug. 1989. The results were as follows. 1. The most frequent type of fracture was type III according to Ruedi and Allgower's classification. 2. The operative treatment was performed with plates and screws in fourteen cases. 3. The overall good and fair results were 72%.
