Study of outcome of pilon fracture of tibia treated with open reduction and plating

Abstract

Background and Aim: Pilon fracture of tibia are difficult to treat. Age, Skin condition, Mode of trauma, Open injury further increases obstacles in healing process. Various modalities of treatment are available but no ideal treatment has yet evolved. Casting often leads to malalignment, increased chances of nonunion and also stiffness in the joints from prolonged immobilization. Hence the aim of the study was to see the effectiveness of open reduction and plating in pilon fracture of tibia in adults. Material and Method: A total of 20 patients were included in the study. All the included patients had fracture of distal tibia (pilon), aged >18 during the period of 2019-2020 in our hospital. Fracture is classified according to AO-OTA Classification. All are treated by open reduction and plating. Length and type of plate was selected as per fracture pattern. Post-Operatively above knee cast with leg elevation given to decrease pain and edema. The patients are followed up at regular interval of 4,8,12 and 16 weeks and results were evaluated using AOFAS for the results of treatment. Results: we had 60% excellent results, 20% good results, 10% had fair & 10% poor results Discussion and Conclusion: Open reduction and plating achieves strength of distal tibial (pilon) fracture shaft in all three planes of loading-bending, compression and torsion. The rate of union compared to other modalities of treatment is excellent.