Surgical treatment of Pilon fracture

Abstract

Introduction: A Pilon fracture, an uncommon but serious injury of lower limb constituting 7.1 % of all tibial fracture, is still unsolved problem & challenge for orthopedic surgeon as far as management is concerned. Methods: This study covers 33 adult patients out of which 26 were treated by some kind of surgical modalities & followed upto 8 to 24 months. We have divided surgical modalities into three groups. Results: Average union time is 14-16 weeks. High incidence of local complication is due to poor soft tissue envelop and precarious blood supply. Hence due respect should be given to soft tissues while managing fracture. Conclusion: These fractures are of high energy trauma. They are frequently open of associated with severe soft tissue injury. These fractures are difficult to reduce and even more to maintain reduction without much disturbing soft tissue condition. [Misahra N NJIRM 2017; 8(3):111-119]