Surgical Treatment Results in Tibia Pilon Fractures : About 32 Cases

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.