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Fig. 1

(A) This 43 year-old male had a fall injury and sustained a Ruedi-Allgower type III open pilon fracture.

(B) The CT scan shows severe comminution of tibia plafond with displaced articular fragments.

(C) The fracture was treated by external fixation and minimal internal fixation with multiple screws.

(D) At postoperative 15 months, the patient complained of ankle pain due to traumatic arthritis with AOFAS score 64 points.

Fig. 2

(A) Initial radiograph shows type III severely comminuted pilon fracture of a 42 year-old male.

(B) As the 1st stage treatment, the pilon fracture was realigned and stabilized by external monofixator, with the fibular fracture being fixed with plate and screw.

(C) Coronal and sagittal images of CT scan show displaced articular fragments of the tibia plafond.

(D) Two weeks since 1st operation, open reduction and internal fixation with dual plate were performed with allogenic bone graft. At postoperative 12 months, the patient showed stiff ankle with mild degree pain and final AOFAS score of 85 points.

Table 1

Distribution of open fractures and soft tissue injury patterns in closed fractures

^*LIF+EF: Limited internal fixation with external fixation, ^†ORIF: Open reduction and internal fixation.

Table 2

Associated injuries

Table 3

Demographic data of the patients

^*MVA: Motor vehicle accident, ^†ORIF: Open reduction and internal fixation, ^‡LIF+EF: Limited internal fixation with external fixation, ^§v. satisfied: Very satisfied, ^∥MRSA: Methicillin resistant staphylococcus aureus, ^¶CRPS: Complex regional pain syndrome.

Table 4

Postoperative complications

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by  

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  Suenghwan Jo, Jun Young Lee, Boseon Kim, Kang Hyeon Ryu
  Journal of the Korean Fracture Society.2017; 30(2): 75.     CrossRef