[Surgical treatment and the fixator selection for Pilon fractures].
OBJECTIVE
To explore the internal fixation selection and the operative method of Pilon fracture.


METHODS
From Aug. 2004 to Aug. 2007,there were 40 patients with Pilon fractures involving 30 males and 10 females. Thirty cases were closed fracture and 10 were open fracture. Seven patients were treated by emergency operation, 3 patients were debrided and suture at first. Twenty-three patients were treated with open reduction and internal fixation (ORIF),the other seventeen patients were treated with LC-DCP,reconstruct plate for fixation or screw, Kirschner wire combine screw for fixation.


RESULTS
All patients were followed up for 6 to 32 months (means 19 months). The time of union of fracture was about 3 to 5 months. The outcome was evaluated according to Baired-Jackson criteria, the results were excellent in 27 cases,good in 7, fair in 5, poor in 1. Seven cases were found the operative incision and wound surface difficult to heal,among them 5 cases came from the emergency operation patients, 1 case was closed fracture patient. They were be healed by change of dressing or dermatoplasty or skin flap.


CONCLUSIONS
It is the key factor of treatment for Pilon fractures to correct evaluate before operation and select correct operation time. It is also important to selected suitable internal fixation and good reduction.
Li
Xiong-feng
XF
Huzhou Central Hospital, Huzhou 313000, Zhejiang, China. lyfwind@126.com
Jiang
Xue-sheng
XS
Huang
Sheng
S
Guan
Guo-hua
GH
Wu
Meng
M
D000328:Adult; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013978:Tibial Fractures / Q000503:physiopathology / Q000601:surgery*