Osteotomy reconstruction surgery for Pilon fracture malunion

Category: Ankle Arthritis, Trauma Introduction/Purpose: To evaluate the clinical outeonles of distal tibial osteotomy and alignment reconstruction for Pilon fracture malunion. Methods: Between January 2010 and May 2012, 15 cases of Pilon fracture malunion were treated with super-malleolar extra- articular or intra-articular osteotomy and alignment reconstruction.They were 12 males and 3 females with an average age of 30.8 years.The pre-operative X-ray and CT scan showed varus deformity in 9 cases and valgus in 6.All the patients complained about ankle pain, deformity, limited range of motion and walking difficulty. Results: 13 cases obtained an average final follow-up of 23.8 months.The average VAS score declined significantly from 5.1±3.2 preoperatively to 1.4±0.8 postoperatively (P<0.05).A complete pain relief was achieved in 8 cases.The AOFAS ankle and hindfoot score, SF-36 score, ankle ROM at the last follow-up were improved significantly compared with the pre-operative ones (P