The Clinical Curative Effect Of Minimally Invasive Treatment Of External And Int Ernal Ankle Fractures With Type Ⅰ And Ⅱ Pilon Fractures

Objective: To explore the clinical curative effect of minimally invasive treatment of external and internal ankle fractures with type I and II Pilon fractures.Methods: 13 patients of internal and external ankle fractures with type I and II Pilon fracture were selected from 2011 to 2015 in our hospital, including 7 males and 6 females aged from 17 to 62 years old with an average of 42 years old. According to Ruedi-Allgower classification,3 patients were type I,10 patients were type II, but according to AO classification, there were 0 of type 43-A and 13 of type 43-B. Percutaneous plate fixation was used for treating lateral malleolus, but for malleolus and Pilon fracture, percutaneous prying to reset and the hollow screw to fix were applied. Lowa scoring system was used for assessing postoperative clinical effects.Results: All 13 patients were followed up from 3 to 18 months. The average time of bone union was 17 weeks. Reset by the lowa scoring system were excellent in 9 cases, good in 4 cases, excellent rate 100%.Conclusion: For external and internal ankle fractures with type I and II Pilon fractures, the minimally invasive treatment Can obtain satisfactory clinical effect. With lower incidence of postoperative complications, good recovery of limb function, it has a great significance for this type of fractures.