HYBRID EXTERNAL FIXATION OF TIBIAL PILON FRACTURES- A PROSPECTIVE STUDY

Abstract

Jyothish Kavungal1, Jacob Pulikotil Joseph2, Jose Francis3

BACKGROUND
Significant wound complications and ankle stiffness in patients with tibial pilon fractures treated by internal fixation or ankle spanning external fixation. Ankle sparing external fixation reduces these complications to a greater extent.
MATERIALS AND METHODS
15 patients with tibial pilon fractures treated by hybrid external fixation were followed up for a period of 40 weeks.
RESULTS
The average union time was 24-40 wks. in 94% of patients. The functional score was good to excellent in 73% of patients. The radiological alignment was not fully acceptable though in majority of cases.
CONCLUSION
Hybrid fixation gives a satisfactory functional outcome in the management of tibial pilon fractures.

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