Treatment of Tibia Pilon Fractures with the Ilizarov Method
There are several treatment alternatives, especially for the treatment of high-energy complex pilon fractures. None of these methods can be claimed as a gold standard. Infection is commonly observed after internal fixation. The external circular Ilizarov fixator allows the patient being operated on early after the trauma and being mobilized. Fifty-three patients were treated at our clinic between 2010 and 2014 using the Ilizarov method due to tibia pilon fractures. The patients included 40 males and 13 females. Mean age was 45.3 years (range = 23–62 years). High-energy trauma such as traffic accidents and falls from a height was involved in more than 80% of the patients. Mean union duration was 14.6 months (12–22 months). According to the Mazur criteria, 39 patients (74%) sustained very good or good results. In 10 patients (19%) sufficient results were obtained, while in four patients (7%) the results were poor. Sufficient and good results were recorded for all type A (1, 2, 3) and type B (1, 2) fractures. Poor results were observed for type C2 and type C3 fractures.
KeywordsPilon fracture Distal tibia Ilizarov method
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