A analysis of functional and clinical outcome of pilon fracture treated with an anterolateral plate fixation in a tertiary care center: Prospective study

Abstract

Introduction: This clinical study presents the short-term results of the Pilon fracture treated with open reduction and internal fixation through an anterolateral approach and further re-analyse the different complication rates and outcome percentages during surgical treatment through an anterolateral approach. Materials and methods: The present study is a prospective descriptive study involving 22 patients with Pilon fracture treated by ORIF through an anterolateral approach at the Department of Orthopaedics, Narayana Medical College and hospital, Nellore, Andhra Pradesh . Results: In our study, among 22 cases, the majority of patients were male (77%). The mean age group of our patients has been 40 -60 years. Right-sided injury and left-sided injury are almost equal. Functional outcome was measured using Mazur criteria. According to these, we found that 12 patients (54.54%) had excellent functional outcome, 8 patients (36.36%) had good functional outcome and 2 patients had fair functional outcome following ORIF with anterolateral plate for tibial pilon fractures and are comparable with other studies in the literature review. Discussion: In our study functional outcome was measured using Mazur ankle score. According to these we found 12 patients (54.54%) had excellent functional outcome and 8 patients (36.36%) had good functional outcome and 2 patients (9.1%) had fair functional outcome following open reduction and internal fixation with anterolateral for tibial pilon fracture.