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Updated: Jul 10, 2026
09:01
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Published on: January 24, 2018
[Redintegration of articular surface with tibia type III Pilon fracture]
Tianyun Zhao1, Xincheng Liu, Xilin Zhao
1Department of Orthopedics, First People's Hospital of Tianshui City, Tianshui Gansu 741000, PR China. zhaotianyun7136@hotmail.com
Summary
This study presents an improved surgical technique for Type III Pilon fractures, achieving high rates of anatomical reduction and bone healing. The method emphasizes soft tissue management and early functional recovery for successful outcomes in complex tibial fractures.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Skeletal Reconstruction
Background:
- Type III Pilon fractures involve complex articular surface damage of the distal tibia.
- Accurate repositioning and stable fixation are crucial for restoring function and preventing complications.
- Existing surgical methods may have limitations in achieving optimal outcomes for these severe injuries.
Observation:
- A delayed open reduction and internal fixation technique was employed in 16 patients (18 sides).
- The superior articular surface of the talus served as a template for tibial plateau reduction.
- Bone grafting and robust internal fixation were integral to the procedure.
Findings:
- Anatomical reduction was achieved in 77.8% of cases.
- First intention healing occurred in 94.4% of sides, with a low infection rate (1 side).
- Excellent or good results were observed in 66.7% of patients based on Mazur's criteria.
Implications:
- This surgical approach offers a viable method for treating complex Pilon fractures.
- Emphasis on soft tissue management, tibial plateau restoration, and early mobilization is vital.
- The technique facilitates stable fixation and promotes early functional recovery.
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