The fibula with the ankle fixed tibial Pilon fracture healing stent in the treatment.docVIP

 PAGE \* MERGEFORMAT 24 The fibula with the ankle fixed tibial Pilon fracture healing stent in the treatment 【Abstract】 The Fibular fixation of tibia with the ankle stent Pilon fracture healing methods and to explore its efficacy. [Methods] from 1999 to 2004 were treated Pilon fracture nonunion in 6 patients, 4 males and 2 females; aged 21 to 53 years, mean 34.7 years of age. All fractures involving the articular surface of the tibia and fibula fracture, tibial fracture nonunion and ankle deformities. After the lateral approach through the exposed fibula tibia, reset satisfied with the choice of reconstruction plate placed on the lateral fibula, tibia screws penetrating through the fibula fixation. The medial calf selected ankle external fixator. From the iliac bone graft in the bone stump and the area between tibia and fibula to achieve bone union and the inferior tibiofibular fusion. [Results] follow-up of 8 months to 4 years, an average of 22 months. 5 cases of access to bone healing, with an average healing time was 3.5 months. 1 cases due to premature removal of the ankle bracket and weight-bearing, there plate fracture and folding. [Conclusion] For Pilon fracture healing, using calf pass into the posterior lateral tibia fibula with the ankle fixed frame, is to improve the quality of reduction, the promotion of fracture healing, correcting deformities, an effective way to prevent complications, and relatively more easy and reliable . 【Key Words】 Pilon fracture healing by stent fibula Abstract: [Objective] To investigate the treatment of nonunion after Pilon fracture with fibula approach fixation of tibia and ankle joint fixation and its clinical efficacy. [Method] Six cases of nonunion after Pilon fracture were collected from 1999 to 2004, which included 4 males and 2 females, with the average age of 34.7 years (21 ~ 53 years). All fractures were found invasion to the tibia-fibula joint and ankle malformation. Fibula and tibia were