Application of limited internal fixation combined with external fixation of tibial Pilon fractures.docVIP

 PAGE \* MERGEFORMAT 16 Application of limited internal fixation combined with external fixation of tibial Pilon fractures [Abstract] Objective: To observe the limited internal fixation combined with external fixation of tibial Pilon fractures. Methods: The January 2002 ~ December 2006 Pilon tibial fractures were unilateral in 12 cases with limited open reduction and internal fixation supplemented by foreign fixation and external fixation, mean follow-up 12.5 months. Results: 12 patients in this group were excellent in 10 cases, good in 2 cases. postoperative complications: wound does not heal in 2 cases, 1 case of infection. Conclusion: from the articular surface of tibia anatomical reduction and restoration of limb length is the key to the treatment of this disease. This event allows early surgical ankle is the treatment of Pilon fractures of a better choice. [Keywords:] Pilon fractures, fracture fixation, external fixation [ABSTRACT] Objective: To evaluate the clinical effects of the limited internal fixation combining with external fixation for the treatment of Pilon fractures. Methods: Twelve patients with unilateral tibia Pilon fracture were treated with limited internal fixation combining with external fixation, follow up of an average period of 12.5 months were conducted. Results: According to Mazur’s criterion, outcomes of the treatment were evaluated as excellent in 10 patients, good in 2. Complications of wound dehiscence were observed in 2 cases, infection in 1 case. Conclusion: In this procedure, restoring normal limb length and accurate anatomical reduction of tibial astragaloid joint is the key to success. This method allows ankle joint to move early and is an optimal choice for Pilon fractures. [KEY WORDS] Pilon fracture; Fracture fixation; External fixation Pilon fractures of the distal tibia is usually 1 / 3 spread from the articular surface of tibial fractures, distal tibial articular surface of comminuted, bone and distal canc