Treatment of Pilon fracture malunion with distal tibiaI osteotomy and reconstruction:

Foot & Ankle Orthopaedics

ZhongminShi¹ 

关键词: Ankle ioint;    Foot deformities;    Osteotomy;    Pilon fracture;   

DOI  :  10.1177/2473011418S00439

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:AnkleIntroduction/Purpose:To evaluate the clinical outcomes of distal tibial osteotomy and alignment reconstruction for pilon fracture malunion.Methods:Between January 2010 and May 2012. 15 cases of pilon fracture malunion were treated with super-malleolar extra-articular osteotomy and alignment reconstruction. They were 12 males and 3 females with an average age of 30.8 years(from 24 to 39 years). The pre-operative X-ray and CT scan showed varus deformity in 9 cases anti valgus in 2 cases. There were 4 cases of anterior impact of the distal tibia and 4 cases of tibiotalar subluxation. All the patients complained about ankle pain, deformity, limited range of motion(ROM)and walking difficulty. X-ray was taken routinely to confirm the bone healing during post-operative follow-up. Scores of visual analogue scale(VAS), American Orthopaedic Foot & Ankle Society(AOFAS)and The Short Form-36(SF-36), ankle ROM and complications were also recorded.Results:13 cases obtained all average follow-up of 23. 8 mo...

【 授权许可】

CC BY