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KMID : 0896720030070020250
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Journal of the Korean Society of Foot Surgery
2003 Volume.7 No. 2 p.250 ~ p.257
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Limited internal fixation for the treatment of the Ovadia and Beals type Ⅱ or Ⅲ Pilon fracture
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Kim Hyung-Chun
Kim Kwang-Yeol
Yim Moon-Sup
Kim Jin-Hyoung
Kwon Joon-Hyoung
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Abstract
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Purpose:Pilon fracture is caused by high energy and axial compression forces, and it is often associated with severe comminution and soft tissue injury. Recently, limitied internal fixation of this fracture may avoid the soft tissue complications associated with formal open reduction and internal fixation and avoid incongruity of joint margin associated with conservative treatment. We have treated Ovadia and Beals type Ⅱ or Ⅲ pilon fracture with limited internal fixation and the results were satisfactory.
Material and Methods : We analyzed 15 cases of Ovadia and Beals type Ⅱ or Ⅲ fractures who were treated by limited internal fixation(K-wire or screw fixation) from January 1995 to December 2000. The average follow up period was 20 months(range, 12 to 38 months). According to the Ovadia and Beals classification, seven cases were type Ⅱ, and eight cases were type Ⅲ. Radiographic results were assessed by Ovadia and Beals criteria. We also assessed the functional results by Mast and Teipner criteria.
Results: Radiographic results showed good in 67% and fair in 33% of cases. Clinical results showed good in 73% and fair in 27% of cases. There were no complications such as wound infection and skin necrosis, but traumatic arthritis were 2 cases.
Conclusions: Pilon fractures are hith energy injuries with significantly associated soft tissue damage and traumatic arthritis. Limited internal fixation offers good solution to Ovadia and Beals type Ⅱ or Ⅲ fracture.
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KEYWORD
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Tibia, Pilon fractures, Limited internal fixation
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