title: [Classification of pilon fractures by computed tomography and its guide to clinical treatment].
abstract: OBJECTIVE
  To introduce a method of three-column classifications for Pilon fractures and observe clinical utility on column fixation.
  
  
  METHODS
  From June 2007 to March 2010,a total of 27 patients (29 ankles, 26 males and 1 female,ranging in age from 23 to 59 years, with an average of 33.1 years) with Pilon fractures were treated through column fixation by using semitubular plates or screws with anteromedial, anterior, posterolateral,posteromedial approach. And postoperative follow up were carried out.
  
  
  RESULTS
  The mean follow up was 17.5 months(ranged,5 to 33 months). According to the Mazur ankle grading system, the outcome was excellent in 20, good in 4 and fair in 5 ankles. Patients in this group did not have complications of wound dehiscence, deep infection, osteomyelitis, nonunion, ankylosis, and joint instability.
  
  
  CONCLUSIONS
  Based on the three-column classification, the clinical results for the treatment of Pilon fractures demonstrate the rationality and efficiency of this method.
authors.affiliation: Shenzhen Pingle Orthopaedic Hospital, Shenzhen 518000, Guangdong, China. 1023576557@qq.com
authors.forename: Bin
authors.initials: B
authors.lastname: Jia
authors.forename: Yong
authors.initials: Y
authors.lastname: Zhang
authors.forename: Zheng-lin
authors.initials: ZL
authors.lastname: Li
authors.forename: Guo-qing
authors.initials: GQ
authors.lastname: Cao
authors.forename: Yan-xun
authors.initials: YX
authors.lastname: Liu
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013978:Tibial Fractures / Q000145:classification* / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed