Preliminary Study Of Using Curved Incision On The Anterior Area Of Ankle Combined With Minimally Invasive Plating Osteosynthesis In Treatment Of The Tibial Pilon Fracture

Objective To report the indication, timing of surgery and results ofusing curved incision on the anterior area of ankle combined withminimally invasive plating osteosynthesis in the treatment of the tibialPilon fracture.Methods A retrospective analysis of24consecutive cases of tibial Pilonfracture were conducted. The patients suffered from falling injury andtraffic accident were primary in the group. Their average age was38.5years old. According to AO fracture classification,3were of43-B2;4were of43-B3;2were of43-C1;5were of43-C2;10were of43-C3. Allpatients were treated with curved incision on the anterior area of anklecombined with MIPO, and they were followed up regularly andinstructed in functional exercises.Results24Patients were followed up for6-20months. The outcome ofreduction was evaluated by the Burwell-Charnley score:21cases wereanatomical reduction,3cases were functional reduction and one casewas poor. According to Mazur’s criteria, the surgical result was evaluated as excellent in14patients, good in7and fair in3. No poor result wasfound. Postoperative complication included soft tissue strain injuryaround incision in3cases, and persistent numbness on foot dorsum in1case.Conclusion Choosing the right timing of surgery and according toclassification of tibial Pilon fracture, curved incision on the anterior areaof ankle combined with MIPO is a reliable approach for achieving highfunctional recovery with good healing and low complication rates intreatment of the tibial Pilon fracture.