Surgical Treatment Results in Tibia Pilon Fractures : About 32 Cases
Zied Mansi *
Department of Orthopaedic Surgery, IBN EL Jazzar KAIROUAN University Hospital, Kairouan 3100, Tunisia.
Abdelkader Tounsi
Department of Orthopaedic Surgery, IBN EL Jazzar KAIROUAN University Hospital, Kairouan 3100, Tunisia.
Ltifi Atef
Department of Orthopaedic Surgery, IBN EL Jazzar KAIROUAN University Hospital, Kairouan 3100, Tunisia.
Islem Chneti
Department of Orthopaedic Surgery, IBN EL Jazzar KAIROUAN University Hospital, Kairouan 3100, Tunisia.
Hedi Rbai
Department of Orthopaedic Surgery, IBN EL Jazzar KAIROUAN University Hospital, Kairouan 3100, Tunisia.
Wajdi Chermiti
Department of Orthopedic Surgery, SAHLOUL University Hospital, Sousse, Tunisia.
Ali Haggui
Department of Orthopedic Surgery, Hospital of Kasserine, Kasserine, Tunisia.
Bacem Zaidi
Department of General Surgery, IBN EL Jazzar University Hospital, Kairouan 3100, Tunisia.
Wael Gazzah
Department of Urology, IBN EL Jazzar University Hospital, Kairouan 3100, Tunisia.
*Author to whom correspondence should be addressed.
Abstract
The Study carried out a retrospective study of a series of 32 cases of tibial pilon fractures, treated surgically in the traumatology-othopedia department of the IBN EL JAZZAR Hospital in KAIROUAN, over a period of 8 years from January 2014. to December 2021.
The fracture of the tibial pilon affects young active subjects, with an average age of 42 years, and a male predominance, the sex ratio M/F equal to 2.2 The common causes of high energy truama were : fall from height 47 % followed by public road accidents at 31.25%. Anteroposterior view and lateral x-rays of the ankl we use ankle series to confirm the diagnosis; AP, Lateral and Mortise view to confirm the diagnosis, and to analyze the different morphology of the fracture. Surgical treatment by open osteosynthesis was carried out in 65% of cases; combined treatment means; and closed treatment in 11% of cases. According to SOFCOT clinical criteria, functional results were good in 65% of cases, average in 25% of cases, and poor in 10% of cases. The analysis of our results showed a majority of good clinical and radiological functional results with open treatment: which showed its superiority compared to closed treatment; and combined treatment. Complications noted were infection; skin necrosis; algodystrophy.
Keywords: Tibial pestle-osteosynthesis, bone lesions, bone fracture