Stabilisation of the fractured fibula plays an important role in the treatment of pilon fractures: A retrospective comparison of fibular fixation methods

Yih Shiunn Lee, Shu Wen Chen, Shih Hao Chen, Wen Chiao Chen, Ming Jye Lau, Tzu Liang Hsu*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

40 Scopus citations

Abstract

Ninety-eight pilon fractures associated with ipsilateral distal fibular fracture were included in this study. The pilon fractures were treated by open reduction and plating. The 98 fractures were divided into three groups based on the treatment method of fractured fibula. Group A was composed of 50 fibular fractures treated by open reduction and plate fixation. Group B was composed of 23 fibular fractures treated by open reduction and pin fixation. Group C was composed of 25 fibular fractures treated conservatively by closed reduction. The radiographs were reviewed for adequacy of fracture reduction and posttraumatic arthrosis. At the end of follow-up, the clinical outcomes were evaluated using a rating scale. The three groups were similar in respect to Ruedi type, open fracture grade, and demographics (all p values∈>0.25). Group A showed a decreasing trend of malunion and ankle arthrosis compared to group C (p∈=∈0.091 and p∈=∈0.099, respectively). Group A had a better clinical outcome than group C (p∈=∈0.008). In addition, group A showed an increasing trend of satisfactory outcome compared to group B (p∈=∈0.096). In conclusion, for pilon fractures associated with ipsilateral fibular fractures, stabilisation of the fractured fibula plays an important role in the decrease of distal tibial malunion and post-traumatic ankle arthrosis as well as improvement of clinical outcomes.

Original languageEnglish
Pages (from-to)695-699
Number of pages5
JournalInternational Orthopaedics
Volume33
Issue number3
DOIs
StatePublished - 06 2009
Externally publishedYes

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