山梨医科大学雑誌　第16巻1号　025-030(2001)

＜Clinical Study＞Treatment of Tibial Pilon Fractures

Tetsuo HAGINO, Yukitaka HOKARI, Hiroyuki MASUYAMA, Takeshi AMEMIYA,Eiichi SATO, Satoru INOUE, Takashi ONO and Yoshiki HAMADA

Abstract: The authors reviewed the clinical results and problems of 11 tibial pilon fractures in 11 patients (average age 55 years). The post-operative follow-up period averaged 18 months (range 3 -38 months). The cause of injury in 7 of the cases was motor vehicle accidents. All fractures were closed. According to the AO classification, five fractures were Type B1, 1 was Type B2, 2 were Type C2, and 3 were Type C3. Using the clinical evaluation standards of Burwell and Charnley, 4 out of the 5 Type C2 and C3 cases were graded fair according to both the objective and subjective criteria, and the results of severe cases were poor irrespective of therapies given. The clinical results of these fractures tend to be influenced by the type of fracture. In severe types, therefore, external fixation with minimal internal fixation and early range of motion exercise is beneficial.

Key words: Pilon fracture, Operative treatment, Internal fixation, External fixation




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