J Korean Fract Soc.  2006 Apr;19(2):176-181. 10.12671/jkfs.2006.19.2.176.

Arthroscopically Assisted Limited Open Reduction and Ilizarov External Fixation of Tibial Pilon Fractures

• Lee JY
• Kim GL
• Oh HS
• Shin KH
• Park DY

• KMID: 2063846
• DOI: http://doi.org/10.12671/jkfs.2006.19.2.176

Abstract

PURPOSE: To evaluate the clinical results of the pilon fractures treated with arthroscopically assisted limited open reduction and Ilizarov external fixation.
MATERIALS AND METHODS
This is a retrospective study of the clinical result, bone union, complication and postoperative ankle function of 22 pilon fractures treated with arthroscopically assisted limited open reduction and Ilizarov external fixation between January 1999 to March 2004.
RESULTS
Clinical follow up averaged 16 months, with an average age of 39.2. All patients with type 1 and 2 fracture had excellent or good score by Ovadia and Beals criteria. Closed fractures healed within 13 weeks and open fractures within 16 weeks after surgery in average. Average range of motion of the ankle was 12o dorsiflexion (0~20 degree) and 25o plantar flexion (15~35 degree).
CONCLUSION
Minimal soft tissue dissection and anatomical reduction are very important factor for minimizing complication and satisfactory ankle function. So, arthroscopically assisted limited open reduction and Ilizarov external fixation is an effective treatment option for tibial pilon fractures.

Keyword

Tibial pilon fractures; Arthroscopically assisted limited open reduction and Ilizarov external fixation

MeSH Terms

Ankle
Follow-Up Studies
Fractures, Closed
Fractures, Open
Humans
Range of Motion, Articular
Retrospective Studies