Related Experiment Video
Updated: Sep 27, 2026

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
Published on: April 11, 2012
Dynamic external fixation of comminuted intra-articular fractures of the distal tibia (type C pilon fractures)
M B Mitkovic1, M Z Bumbasirevic, A Lesic
1Orthopedic Clinic, Clinical Center Nis, Yougoslavia. mitkovic@eunet.yu
Abstract:
We report 26 patients with 28 type C3, distal intraarticular tibial (pilon) fractures treated by dynamic external fixation. Follow-up was at least two years, and the results (subjective and objective) were classified according to the Ovadia system. The mean to fracture union was 14 weeks (range: 12 to 20 weeks). There were three cases with angulation deformity (from 7 degrees to 20 degrees). There were no cases with nonunion or deep infection. Based on these results, this treatment with closed reduction and dynamic external fixation allowing early motion appears as a suitable method for treatment of comminuted intraarticular tibial pilon fractures.
