抄録
Recently, many reports have concluded that osteosynthesis for pilon fracture with Locking Compression Plate (LCP) yields good clinical results. We had also treated 24 cases of type C pilon fractures using LCP. Our series included 7 females and 17 males, with a mean age of 57.2 years.
Bone union was obtained with good recovery of the range of motion (mean dorsal/palmar flexion 15/50 degrees) with initial treatment in most cases, although one case required arthrodesis because of post-traumatic arthritis and ankle pain. Angular stability achieved with LCP gives more rigid fracture fixation and decreases the number of cases requiring bone-grafting or external fixation after definitive surgery. However, pilon fracture still requires orthopaedic surgeons to apply optimal soft tissue management, and minimally invasive anatomical reduction of the ankle joint. Otherwise, unacceptable clinical results may occur, such as skin necrosis, deep infection, and post-traumatic arthritis.
