Ruedi/Allgower tip 1 Pilon kırıklarının tedavisinde konservatif yöntem ile plak yöntemi sonuçlarının karşılaştırılması

Polat, Atilla; Demirtaş, Abdullah; Azboy, İbrahim; Uçar, Bekir Yavuz; Canbora, Mehmet Kerem; Coşar, Yahya; Gümüşsuyu, Gürkan
June 2011
Dicle Medical Journal / Dicle Tip Dergisi;2011, Vol. 38 Issue 2, p160
Academic Journal
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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