Efficacy of the four-step fixed-base reconstruction method for Rüedi-Allgöwer Ⅲ Pilon fracture
Fushan Hou1, Tingting Gao2, Qihui Huang3
1Department of Orthopedics, Second Hospital of Shanxi Medical University, 030000, Taiyuan, China.
Journal of Orthopaedic Surgery and Research
|November 29, 2025
Summary
A novel four-step reconstruction method for Rüedi-Allgöwer type III Pilon fractures offers improved outcomes. This technique resulted in shorter hospital stays, reduced complications, and better functional recovery compared to traditional methods.
Area of Science:
- Orthopaedic Surgery
- Traumatology
- Surgical Techniques
Background:
- Rüedi-Allgöwer type III Pilon fractures are complex injuries requiring advanced treatment strategies.
- Traditional fixation methods present significant therapeutic challenges.
Purpose of the Study:
- To introduce and evaluate a novel four-step fixed-base reconstruction method for Rüedi-Allgöwer type III Pilon fractures.
- To compare the efficacy and outcomes of this new method against traditional double-plate fixation.
Main Methods:
- A retrospective study of 168 patients with Rüedi-Allgöwer type III Pilon fractures.
- Comparison between the four-step reconstruction group and the traditional fixation group.
- Assessment of clinical outcomes including operative time, complications, and functional scores (AOFAS, VAS, Mazur).
Main Results:
- The four-step reconstruction group showed significantly shorter postoperative stay and operation time.
- Reduced intraoperative fluoroscopy, blood loss, and complication rates were observed in the four-step group.
- Higher AOFAS and Mazur scores, and improved ankle dorsiflexion were noted in the four-step reconstruction group.
Conclusions:
- The four-step fixed-base reconstruction method is a reliable and effective option for managing Rüedi-Allgöwer type III Pilon fractures.
- This technique offers advantages in terms of surgical efficiency and patient outcomes.
