The efficacy of minimally invasive approach combined with medial locking plate in the treatment of Ruedi-Allgower II Pilon fractures
PANG Zun-ping
NA Jian
ZHANG Xiao-dong
CUI Ji-yin
LI Chong-chong
ZHANG Fu-ming
Abstract：Objective To evaluate the efficacy of minimally invasive approach combined with medial locking plate in the treatment of Ruedi-Allgower II Pilon fractures.Methods Totally 30 patients of Ruedi-Allgower II, Tscherne-Gotzen I Pilon fractures were followed up from March 2009 to March 2014. The average follow-up was 24 months. All patients were divided into 2 groups. Group A (n = 15 ): minimally invasive approach combined with medial locking plate. Group B ( n = 15 ): conventional incision combined with lateral locking anatomic plate.Results According to Burwell-Charnley in radiology: Group A: anatomical reattachment in 10 cases, fair in 5 cases; Group B: anatomical reattachment in 11 cases, fair in 4 cases; no statistical differences in 2 approaches on the fracture reduction quality ( P> 0.05 ). According to Mazur’s criterion: Group A: excellent in 11 cases, good in 2 cases and fair in 2 cases, excellent and good rate was 86.7%; Group B: excellent in 8 cases, good in 2 cases and fair in 5 cases, the excellent and good rate was 66.7%; statistical differences existed in 2 approaches on the postoperative ankle function recovery (P≤0.05 ).Conclusions Minimally invasive approach combined with medial locking plate has advantages of smaller lesion, quicker recovery and less complications in the treatment of Ruedi-Allgower II, Tscherne-Gotzen I Pilon fractures comparing with the conventional incision combined with lateral locking anatomic plate.
Keywords：Minimally invasive surgical proceduresIntra-articular fracturesAnkle jointBone plates
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 623-626 )