A study of management of Pilon fractures in by various methods

Abstract

Tibial Pilon fractures are challenging injuries for the orthopedic surgeon to manage successfully. The main challenges in the management of these fractures are compromised skin and soft tissue envelope, comminuted fracture, displacement of fragments, metaphyseal region of fracture. In our prospective study, management of distal tibial fractures in by various methods. 32 patients with closed and open fractures of the distal tibia and were treated by various methods were selected for inclusion in the study. Male predominate the female with a ratio of 1.9:1. Out of the 32 cases, 8 (25%) cases are AO type A1, 10 (31.25%) cases were AO type A2, 13 (40.62%) cases AO type A3, and one case (3.12%) AO type B1. Out of the total 32 cases, 30 cases were followed up for 2 years.2 Cases were lost for follow-up. 30 cases were available for follow up and all cases were assessed using Karlsson and Peterson scoring system and stability, weight-bearing, swelling, and gait used in addition to subjective clinical judgment for ankle function. There were 14 (46.66%) excellent, 9 (30%) good, 3 (10%) average, 4 (13.33%) poor results. This study concludes that in distal tibial fractures taken for surgery early after an anesthetic assessment; discuss a treatment algorithm based on a staged approach to the fracture, initial spanning external fixation followed by definitive fixation.