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한성호,김치홍,안태원,양보규,주우준 대한골절학회 1997 대한골절학회지 Vol.10 No.3
Pilon fracture is relatively an uncommon fracture involving the distal tibial articular surface. As usually being combined with many complications, it is difficult to manage. Among many treatment options limited internal fixation of the tibia with long screws and multiple pins augmented with external fixation or casting provide adequate stabilization without soft tissue compromise, Fractures were defined as type II in 10 fractures and type III in 16 by Ruedi-Allgower's classification. 16 fractures. 6 type II and 10 type III, had limited internal fixation and cast application. 1 type I fracture had limited internal and external fixation. 9 fractures, 4 type I and 5 type I, were treated by rigid tibial plating during a period of 5 years (Mar. 1990 - Fed. 1995). By Burwell's and Charnley' s radiological criteria and clinical grading system, limited internal fixation showed 67% satisfactory results in type I and 64% : in type I fractures while rigid tibial plating showed 75% satisfactory results in type 3 and 60% in type I fractures. 4(44%) patients with rigid tibial plating, and 2(12%) patients with limited internal fixation had complications. Pilon fractures are high energy injuries with significant associated soft tissue damage. limited internal fixation offers good solution to this difficult fracture problem.