Abstract
Pilon fractures are severe ankle injuries caused by high energy such as falling or traffic accidents. In the past 5 years we surgically treated 16 patients with Pilon fractures.
We classified the patients according to the AO classification system. One of the patients had AO Type B fractures and the remainder, AO Type C. We basically fixed the fractures with screws, wires, and plates. However, as it was difficult to maintain the reduction only with internal fixation, or the condition of the soft tissue was severe, we added external fixation for 7 patients.
Clinical results were assessed by Burwell functional scales. All patients were ranked“good or fair”by X-ray and 13 were ranked“good or fair”clinically.
We have 5 principles for Pilon fractures. 1) Using wire traction and an Icing System before operation 2) Antomical reconstruction with operation 3) Bone grafts for bone defects 4) Stable internal fixation and early joint movement 5) Using external fixation if it is difficult to maintain the reduction only with internal fixation, or the condition of the soft tissue is severe.
