Operative Treatment of Tibial Pilon Fractures

Abstract

We reviewed 26 cases of tibial pilon fractures treated operativery in the last 12 years. Twenty-four cases achieved good or excellent results and two cases had fair clinical results.
As the grade of fractures became higher, clinical results tended to worsen alond with the reduction shown on the X-ray. However, range of motion post-operatively was not related to the grade of fracture. We concluded that firm internal fixation and early exercise allow acquisition of a satisfactory range of motion in the ankle joint.