Self-made anatomic plate in treatment of distal tibial comminuted fracture Pilon.docVIP

 PAGE \* MERGEFORMAT 7 Self-made anatomic plate in treatment of distal tibial comminuted fracture Pilon [Keywords:] Pilon fracture with anatomic fracture fixation plate equipment design Pilon fracture of distal tibial fractures involving the ankle joint surface, most of the Department of high-energy injuries caused by high morbidity, complications and more difficult for reduction and fixation, internal fixation of the choices are more limited. Our hospital from October 2005 ~ August 2007, to design the distal tibial anatomical plate and applied to the treatment of comminuted Pilon fracture of 60 cases and achieved good results, are reported below. A clinical data The group of 60 cases, 48 male and 12 females, age 25 to 65 years, mean 45.5 years old; the left side of 38 cases, 22 cases of right side; 12 cases of open fractures, 48 cases of closed fracture. Injuries reasons: 43 cases of traffic injury, fall height of 9 cases of injury, sprains, 3 cases of industrial accidents injury in 5 cases. Injury to the operative time was 3 to 14 days, an average of 6.8 days. Fracture type used in 1986 Ovdia et al [1] Ruedi  Angower typing [2] is formulated on the basis of the typing methods. -I: Tibial fractures involving the distal joints, fracture displacement of small blocks; II type: fracture displacement big block, non-comminuted fracture; Ⅲ type: distal tibial articular surface of the fracture and the compression collapse: Ⅳ type: articular surface displacement, a number of shattered bone fragments, there is a large metaphyseal defects; V type: articular surface displacement, a serious crush. 28 cases in this group-III, Ⅳ type 19 cases, V-13 cases. Two treatment 2.1 plate design used in this article distal tibial anatomical plate is the original clover AO distal tibial plate and developed based on the anatomical plate made. Anatomical plate design according to the anatomical characteristics of distal tibia and ankle, and ankle anatomy pre-designed shape. Di