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Article

Treatment outcomes of the posterolateral approach of plate fixation for posterior pilon fractures

  • Authors:
    • Maofeng Gao
    • Naicheng Liu
    • Yu Cheng
    • Weidong Shi
    • Huilin Yang
  • View Affiliations / Copyright

    Affiliations: Department of Orthopaedics, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu 215000, P.R. China
  • Pages: 4267-4272
    |
    Published online on: April 1, 2019
       https://doi.org/10.3892/etm.2019.7458
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Abstract

Posterior pilon fracture is a common type of intraarticular fracture encountered in clinical practice. The treatment of this fracture pattern has been increasingly reported. However, methods for minimizing the associated surgical trauma and achieve effective fixation still require to be established. The present study involved 23 patients with posterior pilon fracture treated at the First Affiliated Hospital of Soochow University (Suzhou, China) between March 2013 and October 2017. Klammer's classification system was used to divide the posterior pilon fractures into 3 types. The surgical procedure, reduction of post‑operative fracture, peri‑operative complications and post‑operative functional recovery were reviewed and analyzed. The reduction in post‑operative fractures was evaluated by determining the Burwell‑Charnley scores at the last follow‑up. Anatomical reduction was confirmed in 17 patients, and an acceptable reduction was reported in 6 patients. The American Orthopedic Foot and Ankle Score was used to assess ankle function recovery; the average score was 82.3 points (range, 44‑97 points). In conclusion, the posterolateral approach is able to achieve anatomical exposure of the operative field. In addition, the posterior fracture fragment of the tibia may be fully exposed through the fibula fracture gap by retraction. Posterior placement of the plate may serve a definitive role in the fixation of the posterior fracture fragment and maintain stability in the anatomical reduction of the fracture, which is helpful in early functional rehabilitation.
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Copy and paste a formatted citation
Spandidos Publications style
Gao M, Liu N, Cheng Y, Shi W and Yang H: Treatment outcomes of the posterolateral approach of plate fixation for posterior pilon fractures. Exp Ther Med 17: 4267-4272, 2019.
APA
Gao, M., Liu, N., Cheng, Y., Shi, W., & Yang, H. (2019). Treatment outcomes of the posterolateral approach of plate fixation for posterior pilon fractures. Experimental and Therapeutic Medicine, 17, 4267-4272. https://doi.org/10.3892/etm.2019.7458
MLA
Gao, M., Liu, N., Cheng, Y., Shi, W., Yang, H."Treatment outcomes of the posterolateral approach of plate fixation for posterior pilon fractures". Experimental and Therapeutic Medicine 17.5 (2019): 4267-4272.
Chicago
Gao, M., Liu, N., Cheng, Y., Shi, W., Yang, H."Treatment outcomes of the posterolateral approach of plate fixation for posterior pilon fractures". Experimental and Therapeutic Medicine 17, no. 5 (2019): 4267-4272. https://doi.org/10.3892/etm.2019.7458
Copy and paste a formatted citation
x
Spandidos Publications style
Gao M, Liu N, Cheng Y, Shi W and Yang H: Treatment outcomes of the posterolateral approach of plate fixation for posterior pilon fractures. Exp Ther Med 17: 4267-4272, 2019.
APA
Gao, M., Liu, N., Cheng, Y., Shi, W., & Yang, H. (2019). Treatment outcomes of the posterolateral approach of plate fixation for posterior pilon fractures. Experimental and Therapeutic Medicine, 17, 4267-4272. https://doi.org/10.3892/etm.2019.7458
MLA
Gao, M., Liu, N., Cheng, Y., Shi, W., Yang, H."Treatment outcomes of the posterolateral approach of plate fixation for posterior pilon fractures". Experimental and Therapeutic Medicine 17.5 (2019): 4267-4272.
Chicago
Gao, M., Liu, N., Cheng, Y., Shi, W., Yang, H."Treatment outcomes of the posterolateral approach of plate fixation for posterior pilon fractures". Experimental and Therapeutic Medicine 17, no. 5 (2019): 4267-4272. https://doi.org/10.3892/etm.2019.7458
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