Observation of different modalities of treatment in closed pilon fractures in adults

Abstract

Tibial Pilon fractures are challenging injuries for the orthopaedic surgeon to manage successfully. The main challenges in the management of these fractures are compromised skin and soft tissue envelope, comminuted fracture, displacement of fragments, metaphyseal region of fracture. In our prospective study, we have done different modalities of treatment of closed pilon fracture with no or minimal soft tissue injury in adults and observed the final functional score and complication rates. 20 patients were followed up to 12-24 month.12 cases (60%) unite in between 16-20 weeks,4 cases (20%) are unite in 12-16 weeks and rest 20% cases unite after 20 weeks. Complication like superficial thrombophlebitis in 2 cases which treated conservatively. Superficial skin infection in one case of primary ORIF and 2 cases of MIPPO. Deep infection occure in 1 case of ring fixator. Final functional outcome in our study according to AOFAS Score, 11 patients (55%) had excellent result and 6 cases (30%) good& 3 had fair (15%) result.