Treatment of The Pilon Fracture involving Tibial Shaft using Two Staged MIPO Technique

경골 간부를 침범한 Pilon 골절에서 2단계 MIPO 수기를 이용한 치료

  • Shin, Hun-Kyu (Department of Orthopedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University College of Medicine) ;
  • Choi, Jae-Yeol (Department of Orthopedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University College of Medicine) ;
  • Lee, Ji-Won (Department of Orthopedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University College of Medicine)
  • 신헌규 (성균관대학교 의과대학 강북삼성병원 정형외과학교실) ;
  • 최재열 (성균관대학교 의과대학 강북삼성병원 정형외과학교실) ;
  • 이지원 (성균관대학교 의과대학 강북삼성병원 정형외과학교실)
  • Published : 2006.12.01

Abstract

Purpose: To evaluate surgical treatment using two-staged MIPO technique in tibial pilon fractures involving tibial shaft. Materials and Methods: Twelve patients, who underwent two-staged MIPO technique for pilon fractures involving tibial shaft between January 2003 and May 2005, were followed for more than one year. Radiographs were graded by the criteria of Anglen and ankle functions were graded by the criteria of Mast and Teipner. Ankle function, union time and postoperative complications were also analysed. Results: Clinically there were eight (67%) good results, three (25%) fair results and one (8%) poor result. At the last follow-up, the radiographic results showed seven (58%) excellent results, three (25%) good results, and two (17%) fair results. During the follow up, There was one case of nonunion Conclusion: Two-staged MIPO techinque is one of the good methods for the treatment of pilon fractures invloving tibial shaft.

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