Pilon tibial fractures in 12 patients.doc

 PAGE \* MERGEFORMAT 6 Pilon tibial fractures in 12 patients [Abstract] Pilon fracture, comminuted fracture of distal tibial metaphysis, tibial weight-bearing surface associated with different degrees of fragmentation and articular cartilage, severe soft tissue injury, is clinically one of the most difficult to treat the fracture. This report describes our hospital Pilon fractures in 12 patients with a retrospective analysis. [Keywords:] pilon fractures and fracture Pilon fracture is related to distal tibial articular surface 1 / 3 of fractures, often caused by high energy injury, clinical rare, but with social development, transportation development, the incidence rates and disability increase year by year, so Pilon fracture handling more and more clinical attention. in our hospital from 1997 to 2003, treatment of Pilon fractures of 12 cases. Through retrospective analysis of our cases, the final report is as follows. 1 Materials and Methods 1.1 General information. This group of 12 patients, 10 males and 2 females. Aged 23-47 years, mean 34.3 years old, left in 5 cases, the right side in 7 cases. According to Ruedi-Allgow-er classification criteria [1] 1 case of type Ⅰ, Ⅱ, 3 cases, Ⅲ in 8 cases. The causes of injury: fall injury in 3 cases, 4 cases of traffic accidents, heavy injured in 3 cases, 2 cases of .10 cases of other injuries associated with fibular fractures. 1.2 .2 cases of open fracture treatment were Ⅲ, underwent emergency surgery .4 cases of type Ⅲ and 3 cases of type Ⅱ 3-4 days after injury were surgery .2 merger cases of type Ⅲ fracture head, chest, abdominal trauma, calcaneal traction in the wound underwent 10-12-day line surgical treatment of fractures. I 1 case, simply using cast immobilization. fibula fractures were treated with screws, plate, Kirschner wire fixation. tibial fracture site under direct vision as far as possible the articular surface anatomical reduction, combined with small Kirschner wires, s