title: [Clinical observation of characteristic and treatment of posterior Pilon fractures].
abstract: OBJECTIVE
  To explore clinical characteristics and treatment of posterior Pilon fracture.
  
  
  METHODS
  From January 2011 to January 2013,18 patients with posterior Pilon fracures were treated. Among them, 13 were male and 5 were female, aged from 22 to 63 years old, with an average age of 46. All the patients were closed fractures. Open reduction and internal fixation were performed after swelling subsided, lateral malleolous and posterior Pilon fracture were exposured through lateral approach on healthy side, plates were used to fixed,screws or small plates were used to fix the posterior prominence of medial malleolus after changed to supine position. AOFAS scoring were applied to evaulate clinical effects.
  
  
  RESULTS
  All patients were followed up with an average of 22(ranged, 12 to 48)months. All patients obtained satisfactory reset except one patient. All factures were recovered well with an average healing of 11 weeks. According to AOFAS score at the final following up, 7 cases were excellent,2 cases were moderate, and the total score was 86.8±9.2.
  
  
  CONCLUSIONS
  Posterior Pilon fracture is not rare in clinical, its mechanism of injury, traumatic anatomy, surgical procedure and prognosis are different from that of classical ankle fracture and Pilon fracture.
authors.forename: Gao-feng
authors.initials: GF
authors.lastname: Yu
authors.forename: Jiang-tao
authors.initials: JT
authors.lastname: Ma
authors.forename: Min
authors.initials: M
authors.lastname: Yu
authors.forename: Li-qun
authors.initials: LQ
authors.lastname: Pan
authors.forename: Liang
authors.initials: L
authors.lastname: Zhang
authors.forename: Shou-xin
authors.initials: SX
authors.lastname: Liang
mesh_terms: D000328:Adult; D016512:Ankle Injuries / Q000601:surgery*; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013978:Tibial Fractures / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult