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KMID : 0386419960090010200
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Journal of the Korean Fracture Society
1996 Volume.9 No. 1 p.200 ~ p.204
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Clinical Evaluation for the Tibial Pilon Fractures
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송경진/Song, Kyung-Jin
정주원/이주홍/박명식/황병연/Jung, Joo-Won/Lee, Joo-Hong/Park, Myung-Sik/Hwang, Byung-Yun
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Abstract
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1
Treatment for the tibial Pilon fractures involving ankle joint must be the most challenging one in the long bone fractures following lots of complications. We analyzed fourteen patients those v.I-o underwent surgical treatment for distal tibia fracture extending through the tibial plafond into ankle joint. Under the Ruedi and Allgower classification two were in type I , two were in type >< and ten were in type 1. The Mean follow-up period was four years ranging from two to seven years. The purpose of this paper is to evaluate the treatment results of tibia Pilon fractures and analyze the causes of complications. In surgical treatment method, we tried early open reduction and rigid internal fixation as far aas possible in the closed pilon fracture. We assessed the function under the objective and subjective criteria of Ovadia and Beals.
Two out of two in type 1 , one out of two in type I and four out of ten in type ]i Pilon frac: --s obtained good functional outcome. There were 3 wound infections, 1 malunion with reflex sympathetic dystrophy and 2 traumatic osteoarthritis as a complication. Type 1 and type I Pilon fractures proved to be amenable to open reduction, restoration of anatomic position, and stable internal fixation with early joint exercise. Nonanatomic reduction, unstable fixation, infection, and secondary
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