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Fig. 1

Twenty-three patients were classified by pre-operative simple X-ray and computed tomography scan using the Rüedi-Allgöwer16) classification in this study.

Fig. 2

Distribution of soft tissue injury patterns is shown in this figure using the Tscherne and Goetzen20) classification in this study.

Fig. 3

(A) This 47-year-old male had a fall injury and sustained a Rüedi-Allgöwer type III pilon fracture. The fracture was treated by external fixation with three screw fixation using anteromedial approach (arrow) to the tibial plafond.

(B) This 41-year-old male had a motor vehicle accident and sustained a Rüedi-Allgöwer type III pilon fracture. The axial computed tomography scanning demonstrate a communited articular injury that is composed of three major articular components and central impacted fragment (black arrow). The fracture is treated by external fixation with three screw fixation using anterolateral approach (white arrow) to tibial plafond.

(C) As in the first stage treatment, the pilon fracture was realigned and stabilized by an external mono fixator, with the fibular fracture being fixed with a plate and screw.

Fig. 4

(A) Two weeks after the first operation, closed reduction and internal fixation with locking compression plate (Synthes, Oberdorf, Switzerland) were performed.

(B) At post-operative 36 months, the patient underwent the removal of the implant. The post-operative radiographs show good alignment and good ankle articulation.

Fig. 5

Last follow-up photographs show good ankle range of motion in 41-year-old male patients who underwent two stage treatment of pilon fracture.

Table 1

Patient data for 23 cases of two stage treatment of pilon fractures

R-A: Ruedi-Allgower, F/U: Follow-up, TA: Traffic accident, M: Male, F: Female.

Table 2

Burwell-Charnley classification7)

Table 3

Post-operative complications

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by  

• Current Concepts in Management of Pilon Fracture
  Jun-Young Lee, Sang-Joon Lee
  Journal of the Korean Fracture Society.2014; 27(2): 173.     CrossRef