Curative effect investigation and therapy selection of open Pilon fracture / 中国骨伤

ABSTRACT

<p><b>OBJECTIVE</b>To evaluate the treatment of open Pilon fractures.</p><p><b>METHODS</b>A total of 126 open Pilon fracture cases were reviewed retrospectively. The patients were treated from February 1996 to March 2009, included 72 males and 54 females with an average age of 36 years old ranging from 17 to 65 years. According to the Ruedi-Augower classification, there were 28 cases of type I, 58 of type II, and 40 of type III. Among all the cases, 31 cases were treated with external fixators combined with limited internal fixations, 80 cases were treated with open reduction and internal fixation with anatomical plates, 15 cases with open reduction and cross K-wire fixations.</p><p><b>RESULTS</b>All cases were followed-up for from 10 to 26 months with an average of 16 months. The average bone healing time was 10 weeks (from 8 to 14 weeks). According to the Mazur ankle function evaluation, the results were excellent in 89 cases, good in 26,fair in 9,poor in 2. The excellent and good rate was 91.2%.</p><p><b>CONCLUSION</b>The "Personalized treatment principle" effectively prevents the occurrence of complications and helps to restore the joint functions.</p>