Pilon fracture의 수술적 가료에 대한 임상적 고찰

Abstract

A pilon fracture, which is defined as a comminuted intraarticualar fracture of distal tibia, violates the articular region and the metaphysis with occasional extension into the diaphysis, and renders the bone difficult to restore to its anatomic shape. Though con¬servative treatment was possible, most of authors reported better result after a surgical treatment than that of conservative treatment. We analyzed the result of 17 cases of pilon fracture in 16 patients. All of them were treated surgically and followed up more than one year and six monthes at the Depart¬ment of Orthopedic Surgery, Keimyung university Dongsan Medical Center, from April 1984 to December 1990. The results were as follows. 1. The incidence of pilon fracture is about 10% of all ankle fracture treated during the same period. 2. The most frequent type of pilon fracture is type Ⅲ(Ruedi & Allgower). 3. Fifty six percentage of all cases had associated injuries, the most common associated injury was compression fracture of lumbar spine (4 cases). 4. Fibular fracture was combined in 9 cases (53%) 5. The more accurate reduction, the better clinical result.