15 cases of complex treatment of Pilon fractures.docVIP

 PAGE \* MERGEFORMAT 5 15 cases of complex treatment of Pilon fractures [Keywords:] Pilon fracture; internal fixation; external fixation Common lower extremity fracture Pilon fracture. The disease diagnosis is not difficult, treatment methods varied, but the effects with the AO classification of fractures [1] increased decline, particularly in difficult-C reduction, and postoperative functional recovery is not ideal. I treated with limited internal fixation and external fixation, the effect is satisfactory, are as follows. 1 Materials and Methods 1.1 General Information 2005.01 ~ 2009.5 collect Pilon fractures in 15 cases (10 males and 5 females), were fibula fracture, which left 11 cases, the right side in 4 cases, aged 35 to 70 years, causes of injury: traffic accident five cases in which , 4 cases of sprains, falls injury in 3 cases, 3 cases of crush injury; 15 cases in the open wound in 3 cases. injury to a half hour treatment time to 2 days. 1.2 Methods According to Pilon fracture of a surgical reconstruction, there are four traditional principles [1], the first use of fibular anatomical plate reconstruction of the fibula, through the fibula reconstruction restored tibial length, and to achieve tibial fractures part or all of the reset, fluoroscopy confirmed that the fibula after reset tibial fractures or fractures of the degree of impairment; followed by reduction under fluoroscopy tibial articular surface, a small incision through the medial tibial bone with Kirschner wire or pry prying restoration of articular surface, the use of Kirschner wire and hollow screw to maintain the articular surface reduction, If, after restoration of bone defects using autologous cancellous bone or cortical cancellous bone defect filling; again using the “T”-shaped unilateral external fixator across the ankle joint, external fixation (“T” head) two remote nail in the calcaneus, the proximal two screw fixation in the tibia, cut off non-invasive technique