Analysis of the therapeutic effect of Pilon fractures involving sagittal and coronal plane
SHI Yong
CHEN Zi-jian
HONG Ze-ya
ZHAO Wen-ping
Abstract：Objective To investigate the clinical efficacy of the application of the anterior or medial plate in the treatment of Pilon fracture involving sagittal plane and coronal plane.Methods From 2005 to 2015,68 adult patients with tibial Pilon fractures were collected in our hospital,and 25 patients which belonged to type Ⅲ were chosen to receive treatment according to the Rüedi-Allg(o)wen typing.There were 20 males and 5 females,aged from 19 to 54 years with an average of 38.4 years.There were 5 cases on the left side and 20 cases on the right side.From getting injured to having surgery,the patient experienced 7-15 d with an average of (10.2±3.4) d.In patients with swelling symptoms,good protective measures like dehydration,elevation limb and other means were taken to reduce swelling.After the swelling completely subsided and skin wrinkled,the patients immediately received surgery.Finally all patients underwent surgery and rehabilitation.Results Twenty patients were followed up for 6-16 months with an average of (10.3±2.8) months.Fracture healing time was 2 to 5 months with an average of (3±1.5) months.Mazur scoring system was used to evaluate the surgical outcome.There were 20 excellent cases,2 good cases,and 3 fair cases.Postoperative complications included 1 case of delayed healing,8 cases of joint degeneration and 3 cases of superficial necrosis of the skin,but there was no infection case,no wound nonunion or internal fixation failure cases.Conclusion The key point of achieving good surgical results is to choose the correct timing of surgery and flexible fixed mode according to the soft tissue and the fracture-involved plane.
Keywords：Pilon fracturesfixationbone platesagittal planecoronal plane
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 460-462 )