Üner, Serdar Kilis Devlet Hastanesi - Ortopedi ve Travmatoloji Kliniği, Turkey , Öztürk, Hayati Cumhuriyet Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Turkey , Kılınç, Seyran Harput Devlet Hastanesi - Ortopedi ve Travmatoloji Kliniği, Turkey , Bulut, Okay Cumhuriyet Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Turkey , Tezeren, Gündüz Cumhuriyet Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Turkey , Öztemur, Zekeriya Harput Devlet Hastanesi - Ortopedi ve Travmatoloji Kliniği, Turkey

The results of surgical treatment for tibial pilon fractures

33354

Aim. In this study our aim was to evaluate medium term results of tibial pilon fractures clinically and radiologicaly that treated with surgical. Method. From September 2004 to September 2011, 43 patients were surgically treated for pilon fracture, after the final checks of 25 patiensts 26 pilon fracture evaluated for this study in Cumhuriyet University, Department of Orthopedics and Traumatology. Results. Seven of the cases were women and 18 men. Mean age was 47.4 years (20-74). Eight of the cases were open (2 type I, 2 type II and 4 type III). There were 13 type 1, 8 type 2, and 5 type 3 fractures according to Ruedi-Allgöwer respectively. Falling from the height take the first place in etiology. At the same time 19 fibula fracture observed. 26 out of 17 pilon fracture patients were treated by one-stage operations. 26 out of 9 Pilon fracture were treated by multiple operations (for 7 cases; 2 operation, for; 2 cases 3 operations). In 2 cases fasciotomy was operated with compartment diagnosis. In 2 cases due to developing skin necrosis superficial skin grafting were treated. In 3 cases due to the development of wound infection removal implant were treated. In 5 cases allogreft (Deminarelized Bone Matrix cancellos chips) were treated. In 8 cases Sudeck atrophy developed, In 7 cases osteoarthritis observed. AOFAS criterias were used in evaluation. The score of AOFAS was found 70 in 15 of 26 pilon fractures. In 10 cases the score of AOFAS was found between 50-70. In 2 cases the score of AOFAS was found between 30-50. Conclusion. Pilon fractures of the preoperative planning should be done very well to get a successful outcome. A single successful treatment for pilon fractures do not apply to all. In a separate evaluation of each fracture, surgical treatment is well planned and principles must be followed.

532

Tibia , pilon fracture , internal fixation , arthrosis

Cumhuriyet Medical Journal

539