Clinical research on the treatment effects on the patients with distal tibial articular surface fracture

Abstract

Objective To research the operative methods and their clinical effects on distal tibial articular surface fracture. Methods From Jan. 2006 to Feb. 2010, 61 cases of tibial distal fracture with distal tibial articular surface fracture were retrospectively analysed in our department, in which Pilon fractures 24 cases, ankle fracture 37 cases. According to the different injurie situation adopted different treatment. Results In all pilon fractures patients,we assessed surgical treatment by Tenny grading system. Seventeen cases were perfect, 5 cases were good, 1 case was not too bad and 1 cases was very bad. Complications included 3 cases of skin infection, 1 case of malunion, 1 case of ankle arthrodesis after operation. In all ankle fractures patients, we assessed surgical treatment by Baird-Jackson grading system. Thirty-one cases were perfect, 4 cases were good, 2 cases were not too bad and 1 cases was very bad. Complications included 2 cases of skin infection after operation. Conclusions Understanding the difference of injurie mechanisms between Pilon fractures and ankle fractures, including different treatment between them, we can treat those patients with distal tibial articular surface fracture better. Key words: Distal tibial articular surface; Pilon fractures; Ankle fractures