Volume : VII, Issue : X, October - 2017

COMPOUND TIBIAL PILON FRACTURES AND ITS MANAGEMENT

Dr. V. Anjan Ramachandranath, Dr. R. Umashankar

Abstract :

 The terms pilon fracture, pylon fracture,and plafond fracture have all been used to describe high–energy fractures of the articular surface of the distal tibia. Intra–articular fractures of the distal tibia secondary to axial loading present a great challenge to the orthopaedic surgeon. These high energy injuries often result in ignificant soft–tissue damage, bone comminution, and articular surface disruption.

MATERIALS AND METHOD:

We studied in a series of 17 patients of different grades of compound tibial pilon fractures

between 25yrs and 60yrs of age, who were treated in day one with the following modalities

of treatment and were followed for a minimum period of 6 months. out of the 17 patients. GROUP–I: 4 of them were treated with open reduction and internal fixation with plate

osteosynthesis, GROUP–II: 4 of the patients were treated with wound deidement and ankle

spanning external fixator, GROUP–III: 6 of the patients who had associated fibula distal third

fracture were treated with wound deidement, ankle spanning external fixator and k–wire for

fibula, GROUP–IV: remaining 3 of them who too had associated fibula distal third fracture

were treated with wound deidement, ankle spanning external fixator and one third tubular

plate for fibula. Grade IIIb compound fractures were later given secondary split skin grafts

for raw area

RESULTS AND COMPLICATION:

Bony union was significant. Strict nonweight beå for 6 weeks and allowed to partial weight bear after 8 weeks. The functional evaluation of the ankle was excellent or good in eight cases, fair in six and poor in three. The range of motion was recorded for all patients

CONCLUSION:

In our study, results were good with external fixator combined with minimal internal

fixation. we are able to achieve satisfactory reduction, restore limb length, with minimal soft

tissue handling. Thorough deidement, external fixation with minimal internal fixation and

early soft tissue cover will stretch good results in Gr–III compound fractures.

 

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr.V.Anjan Ramachandranath, Dr.R.Umashankar, COMPOUND TIBIAL PILON FRACTURES AND ITS MANAGEMENT, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-7 | Issue-10 | October-2017

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