Polat, Atilla Haydarpaşa Numune Eğitim ve Araştırma Hastanesi - Ortopedi ve Travmatoloji Kliniği, Turkey , Demirtaş, Abdullah Hakkari Devlet Hastanesi - Ortopedi ve Travmatoloji Kliniği, Turkey , Azboy, İbrahim Dicle Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Turkey , Uçar, Bekir Yavuz Dicle Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Turkey , Canbora, Mehmet Kerem Haydarpaşa Numune Eğitim ve Araştırma Hastanesi - Ortopedi ve Travmatoloji Kliniği, Turkey , Coşar, Yahya Haydarpaşa Numune Eğitim ve Araştırma Hastanesi - Ortopedi ve Travmatoloji Kliniği, Turkey , Gümüşsuyu, Gürkan Haydarpaşa Numune Eğitim ve Araştırma Hastanesi - Ortopedi ve Travmatoloji Kliniği, Turkey

Comparison of results of conservative method and plate fixation method for the treatment of Ruedi/allgower type 1 Pilon fractures

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Objective: The aim of this study was to compare the results of cast application and plate fixation in the management of Ruedi/Allgower type I Pilon fractures Patients and methods: Forty-two patients (24 females, 18 males) with Ruedi/Allgower type I Pilon fractures were retrospectively reviewed. Sixteen patients (Group 1) (10 females, 6 males; mean age 43 years; range 18-56) had been treated with cast application and 26 patients (Group 2) (14 females, 12 males; mean age 37.7 years; range 19-52) had been treated with plate fixation. All patients were diagnosed with X-ray. Radiologic examinations were made using Ovadia and Beal’s criteria. Long term functional results of foot and ankle were evaluated according to the Tenny and Wiss citeria. The mean follow-up period was 28 months (range 12-44) in Group 1 and 31 months (range 16-46) in Group 2. Results: Mean reduction quality score was 12 points in Group 1, and 10 points in Group 2. The difference between the groups was statistically significant (p 0.05). Mean long term functional results of foot and ankle scored 84 and 86 in Group 1, and Group 2, respectively (p 0.05). Time to union was not different between both groups (p 0.05). Conclusion: Although the quality of reduction obtained with cast application was not as satisfactory as plate fixation; good results could be obtained in both groups regarding long term functions.

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Pilon fractures , conservative treatment , plate fixation method , outcome

Dicle Medical Journal

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